Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Facility		$4.40	$4.40	$4.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.14 / $5.14	Professional		$4.40	$5.14	$5.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.00	Professional		$10.00	$10.00	$15.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $4.18	Professional		$0.35	$0.35	$4.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $5.79	Professional		$5.79	$5.79	$5.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $70.00 / $85.00	Professional		$3.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $5.14 / $6.68	Facility		$4.40	$5.14	$6.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00