Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $23.21 / $105.03	Facility		$23.21	$23.21	$105.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $5.95 / $7.00	Professional		$4.73	$5.95	$7.00
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 $9.00 / $9.00 / $10.84	Professional		$9.00	$9.00	$10.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $52.00 / $283.26	Professional		$48.00	$52.00	$283.26
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 $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $70.00 / $85.00	Professional		$10.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $11.49	Facility		$8.00	$8.00	$11.49
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