Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Facility		$0.25	$0.25	$0.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $0.25	Professional		$0.25	$0.25	$0.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $21.01	Facility		$4.63	$4.63	$21.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.00 / $1.00	Professional		$0.84	$1.00	$1.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.23 / $89.77 / $153.63	Professional		$59.23	$89.77	$153.63
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 $1.01 / $1.01 / $1.01	Professional		$1.01	$1.01	$1.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $283.26	Professional		$8.00	$8.00	$283.26
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 $15.52 / $15.52 / $15.52	Professional		$15.52	$15.52	$15.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $85.00	Professional		$30.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $0.25 / $0.36	Facility		$0.25	$0.25	$0.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.01 / $1.01 / $1,800,000.00	Professional		$1.01	$1.01	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00