Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $25.50 / $30.00	Professional		$15.01	$25.50	$30.00
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 $2.70 / $2.70 / $2.70	Professional		$2.70	$2.70	$2.70
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 $3.74 / $3.74 / $3.74	Professional		$3.74	$3.74	$3.74
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 $3.80 / $3.80 / $8.03	Facility		$3.80	$3.80	$8.03
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