Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $4.00	Professional		$3.20	$3.20	$4.00
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 $3.00 / $3.00 / $396.00	Professional		$3.00	$3.00	$396.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $9.30 / $15.91	Professional		$6.14	$9.30	$15.91
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 $6.50 / $12.42 / $15.56	Professional		$6.50	$12.42	$15.56
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 $9.00 / $9.00 / $9.00	Professional		$9.00	$9.00	$9.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $70.00 / $85.00	Professional		$5.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.64 / $8.46	Facility		$3.20	$3.64	$8.46
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