Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $34.24 / $34.24	Facility		$32.10	$34.24	$34.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $28.09 / $36.47	Professional		$19.93	$28.09	$36.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $62.31 / $83.00	Professional		$28.13	$62.31	$83.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $49.00 / $106.95	Professional		$34.29	$49.00	$106.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
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 / $123.58 / $123.58	Facility		$45.88	$123.58	$123.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $167.71 / $199.28	Professional		$167.71	$167.71	$199.28
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 $23.24 / $33.20 / $44.96	Facility		$23.24	$33.20	$44.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $2,250,000.00 / $2,400,000.00	Professional		$38.34	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $78.00 / $130.00	Professional		$51.00	$78.00	$130.00