Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Facility		$89.28	$89.28	$89.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $89.28 / $89.28	Professional		$84.27	$89.28	$89.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Professional		$6.68	$6.68	$6.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $183.56 / $266.22	Facility		$96.60	$183.56	$266.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $539.29	Facility		$100.00	$100.00	$539.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $89.28 / $189.20	Facility		$88.00	$89.28	$189.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,250,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,250,000.00