Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
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 $124.26 / $147.94 / $250.32	Facility		$124.26	$147.94	$250.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $170.00 / $170.00	Professional		$79.00	$170.00	$170.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $146.63 / $239.69	Professional		$104.60	$146.63	$239.69
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 $100.00 / $100.00 / $187.52	Facility		$100.00	$100.00	$187.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $139.60 / $139.60	Professional		$108.58	$139.60	$139.60
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 $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