Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Facility		$5.45	$5.45	$5.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Professional		$5.45	$5.45	$5.45
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 $0.68 / $1.70 / $2.00	Professional		$0.68	$1.70	$2.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.65 / $7.96	Professional		$3.07	$4.65	$7.96
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 $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
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 $6.06 / $6.06 / $6.06	Professional		$6.06	$6.06	$6.06
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 $5.45 / $5.45 / $11.53	Facility		$5.45	$5.45	$11.53
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