Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $11.68 / $11.68	Facility		$11.68	$11.68	$11.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $28.52 / $28.52	Professional		$11.68	$28.52	$28.52
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 $2.00 / $3.40 / $4.00	Professional		$2.00	$3.40	$4.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $18.60 / $31.83	Professional		$12.27	$18.60	$31.83
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 $1,426.43 / $1,426.43 / $1,426.43	Professional		$1,426.43	$1,426.43	$1,426.43
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 $100.00 / $100.00 / $1,536.15	Facility		$100.00	$100.00	$1,536.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.05 / $1,975.05 / $1,975.05	Professional		$1,975.05	$1,975.05	$1,975.05
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 $11.68 / $28.52 / $37.08	Facility		$11.68	$28.52	$37.08
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