Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $21.32 / $21.32	Facility		$19.94	$21.32	$21.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.94 / $23.21	Professional		$16.82	$19.94	$23.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $36.00 / $123.00	Professional		$21.66	$36.00	$123.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $33.00 / $80.02	Professional		$23.10	$33.00	$80.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
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 $41.37 / $217.62 / $217.62	Facility		$41.37	$217.62	$217.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.45 / $193.44 / $193.44	Professional		$180.45	$193.44	$193.44
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 $19.27 / $26.86 / $35.39	Facility		$19.27	$26.86	$35.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $2,250,000.00 / $2,400,000.00	Professional		$29.33	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $50.00 / $65.00	Professional		$36.29	$50.00	$65.00