Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $25.16 / $25.16	Facility		$22.08	$25.16	$25.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $20.18 / $25.16	Professional		$16.25	$20.18	$25.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $25.00 / $31.00	Professional		$18.09	$25.00	$31.00
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 $23.80 / $32.00 / $77.93	Professional		$23.80	$32.00	$77.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
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 $204.00 / $283.32 / $283.32	Professional		$204.00	$283.32	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $60.00 / $85.00	Professional		$38.94	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $30.30 / $43.46	Facility		$19.30	$30.30	$43.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $2,250,000.00 / $2,400,000.00	Professional		$27.29	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $28.00 / $35.00	Professional		$23.00	$28.00	$35.00