Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.47 / $21.05 / $21.05	Facility		$18.47	$21.05	$21.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.64 / $21.05	Professional		$11.10	$14.64	$21.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $23.25 / $26.00	Professional		$15.92	$23.25	$26.00
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 $19.60 / $28.00 / $67.51	Professional		$19.60	$28.00	$67.51
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 $22.03 / $60.00 / $85.00	Professional		$22.03	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $19.84 / $28.57	Facility		$13.04	$19.84	$28.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $2,250,000.00 / $2,400,000.00	Professional		$16.39	$2,250,000.00	$2,400,000.00