Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $50.96 / $86.23	Facility		$42.80	$50.96	$86.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $43.92 / $43.92	Professional		$1.23	$43.92	$43.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $100.00 / $1,735.41	Facility		$87.20	$100.00	$1,735.41
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 $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $112.00	Facility		$50.00	$50.00	$112.00
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