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 $3.02 / $3.02 / $3.98	Professional		$3.02	$3.02	$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 $3.02 / $3.02 / $426.58	Professional		$3.02	$3.02	$426.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.33 / $15.85	Professional		$6.17	$9.33	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
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 $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.63 / $30.90	Facility		$3.24	$3.63	$30.90
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 $7.94 / $44.67 / $44.67	Professional		$7.94	$44.67	$44.67