Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $31.65 / $31.65	Facility		$29.64	$31.65	$31.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $29.64 / $34.81	Professional		$20.82	$29.64	$34.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $44.00 / $123.00	Professional		$30.32	$44.00	$123.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $984.70 / $1,395.76 / $2,337.67	Facility		$984.70	$1,395.76	$2,337.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $120.32	Professional		$38.50	$55.00	$120.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Professional		$33.83	$33.83	$33.83
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 $45.88 / $885.11 / $885.11	Facility		$45.88	$885.11	$885.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $283.32 / $283.32	Professional		$199.28	$283.32	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $85.00 / $85.00	Professional		$37.64	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $32.01 / $44.59	Facility		$22.92	$32.01	$44.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $2,250,000.00 / $2,400,000.00	Professional		$40.98	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $70.00 / $98.00	Professional		$47.00	$70.00	$98.00