Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $17.60 / $17.60	Facility		$17.60	$17.60	$17.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $254.94	Professional		$17.60	$254.94	$254.94
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 $18.76 / $25.00 / $31.12	Professional		$18.76	$25.00	$31.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.24 / $223.16 / $381.95	Professional		$147.24	$223.16	$381.95
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 $11.30 / $15.08 / $15.08	Professional		$11.30	$15.08	$15.08
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 $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $254.94 / $293.18	Facility		$17.60	$254.94	$293.18
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