Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.49 / $2.50	Facility		$1.25	$1.49	$2.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $1.70 / $1.70	Professional		$0.10	$1.70	$1.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.40 / $0.48	Professional		$0.38	$0.40	$0.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $9.64 / $9.64	Professional		$7.50	$9.64	$9.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.43	Facility		$0.15	$0.15	$0.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $0.24	Professional		$0.18	$0.18	$0.24
United Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.22 / $0.51	Professional		$0.20	$0.22	$0.51