Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Facility		$19.73	$19.73	$19.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $19.73 / $20.21	Professional		$19.02	$19.73	$20.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $17.27 / $29.21	Facility		$14.50	$17.27	$29.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $15.77 / $27.97	Professional		$14.88	$15.77	$27.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $21.10 / $30.25	Facility		$15.03	$21.10	$30.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $97.51	Professional		$40.00	$40.00	$97.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $90.36 / $107.01	Professional		$90.36	$90.36	$107.01
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 $19.02 / $20.21 / $44.22	Facility		$19.02	$20.21	$44.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $58.38 / $58.38	Professional		$58.38	$58.38	$58.38