Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $17.44 / $167.83	Facility		$17.44	$17.44	$167.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $17.44 / $44.18	Professional		$14.50	$17.44	$44.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $18.75 / $21.47	Facility		$15.31	$18.75	$21.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $18.55 / $34.82	Professional		$16.80	$18.55	$34.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.13 / $27.83	Professional		$8.90	$11.13	$27.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $27.87 / $29.26	Professional		$18.73	$27.87	$29.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $393.93	Professional		$100.00	$100.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $46.22 / $46.22	Professional		$46.22	$46.22	$46.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $40.32 / $40.32	Professional		$40.32	$40.32	$40.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $18.55 / $24.94	Facility		$17.44	$18.55	$24.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $29.26 / $2,250,000.00	Professional		$18.73	$29.26	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $38.61	Professional		$21.01	$21.01	$38.61