Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $20.07 / $20.07	Facility		$17.64	$20.07	$20.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.57 / $20.07	Professional		$11.10	$13.57	$20.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.68 / $24.00	Professional		$15.00	$19.68	$24.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,054.80 / $2,572.80	Facility		$97.00	$1,054.80	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $37.00 / $87.99	Professional		$26.60	$37.00	$87.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
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 $85.00 / $885.11 / $885.11	Facility		$85.00	$885.11	$885.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $283.32 / $283.32	Professional		$123.45	$283.32	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $60.00 / $85.00	Professional		$11.81	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $19.45 / $27.82	Facility		$12.97	$19.45	$27.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $2,250,000.00 / $2,400,000.00	Professional		$36.47	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $31.00 / $34.00	Professional		$22.00	$31.00	$34.00