Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $190.83 / $190.83	Professional		$190.83	$190.83	$190.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $317.00 / $330.00	Professional		$0.02	$317.00	$330.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $24.91 / $36.44	Facility		$18.10	$24.91	$36.44
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 / $525.45	Facility		$100.00	$100.00	$525.45
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 $190.83 / $190.83 / $202.28	Facility		$190.83	$190.83	$202.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00