Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.56 / $6.56	Facility		$6.56	$6.56	$6.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $6.56	Professional		$4.40	$4.40	$6.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116,039.99 / $116,039.99 / $525,159.94	Facility		$116,039.99	$116,039.99	$525,159.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.75 / $2.00	Professional		$1.55	$1.75	$2.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $37.19 / $63.66	Professional		$24.54	$37.19	$63.66
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 $1.51 / $1.51 / $1.51	Professional		$1.51	$1.51	$1.51
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 $2.09 / $2.09 / $2.09	Professional		$2.09	$2.09	$2.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $5.72 / $13.88	Facility		$4.40	$5.72	$13.88
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
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00