Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.94 / $66.13 / $66.13	Facility		$57.94	$66.13	$66.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $47.00 / $66.13	Professional		$35.83	$47.00	$66.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $72.00 / $89.00	Professional		$50.53	$72.00	$89.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $76.00 / $152.46	Professional		$53.20	$76.00	$152.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $54.34 / $54.34	Professional		$54.34	$54.34	$54.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.08 / $261.11 / $261.11	Facility		$89.08	$261.11	$261.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $314.82 / $314.82 / $410.85	Professional		$314.82	$314.82	$410.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $65.58 / $92.26	Facility		$41.76	$65.58	$92.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $2,250,000.00 / $2,400,000.00	Professional		$69.83	$2,250,000.00	$2,400,000.00