Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114,815.36 / $138,038.43 / $588,843.66	Facility		$114,815.36	$138,038.43	$588,843.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $1.66 / $2.00	Professional		$0.68	$1.66	$2.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $79.43	Professional		$30.90	$46.77	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $831.76	Professional		$104.71	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $7.24	Facility		$3.98	$3.98	$7.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.51 / $8.51	Professional		$7.76	$8.51	$8.51