Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $120.35 / $668.25	Facility		$120.35	$120.35	$668.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $120.35 / $123.25	Professional		$116.00	$120.35	$123.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.12 / $143.02 / $241.98	Facility		$120.12	$143.02	$241.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $129.41 / $231.71	Professional		$123.25	$129.41	$231.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
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 $123.25 / $210.25 / $210.25	Facility		$123.25	$210.25	$210.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Professional		$319.00	$319.00	$319.00
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 $116.00 / $123.25 / $269.58	Facility		$116.00	$123.25	$269.58
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
United Facility/Professional Professional Modifier Low / Median / High Price $469.80 / $469.80 / $469.80	Professional		$469.80	$469.80	$469.80