Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $18.07 / $18.07	Facility		$16.93	$18.07	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $16.93 / $20.00	Professional		$13.98	$16.93	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $25.00 / $32.20	Professional		$17.64	$25.00	$32.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $32.00 / $80.02	Professional		$22.40	$32.00	$80.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Professional		$19.22	$19.22	$19.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $86.18 / $86.18	Facility		$32.09	$86.18	$86.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $108.59 / $139.05	Professional		$108.59	$108.59	$139.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $60.00 / $85.00	Professional		$24.48	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $21.39 / $28.01	Facility		$15.39	$21.39	$28.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $2,250,000.00 / $2,400,000.00	Professional		$23.75	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $46.00 / $62.00	Professional		$31.00	$46.00	$62.00