Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $549.40	Facility		$8.00	$8.00	$549.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $58.02 / $262.58	Facility		$58.02	$58.02	$262.58
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 $0.11 / $0.11 / $310.19	Professional		$0.11	$0.11	$310.19
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 $100.00 / $100.00 / $334.05	Facility		$100.00	$100.00	$334.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $334.05 / $334.05 / $334.05	Professional		$334.05	$334.05	$334.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $61.50	Professional		$30.00	$60.00	$61.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $11.49	Facility		$8.00	$8.00	$11.49
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 $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00