Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $29.38 / $29.38	Facility		$25.74	$29.38	$29.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $22.51 / $29.38	Professional		$17.13	$22.51	$29.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $31.00 / $39.10	Professional		$22.59	$31.00	$39.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,054.80 / $2,572.80	Facility		$98.20	$1,054.80	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $33.00 / $80.44	Professional		$23.10	$33.00	$80.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $24.41 / $24.41	Professional		$24.41	$24.41	$24.41
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 $31.80 / $60.00 / $85.00	Professional		$31.80	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $31.24 / $45.03	Facility		$20.32	$31.24	$45.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $2,250,000.00 / $2,400,000.00	Professional		$31.35	$2,250,000.00	$2,400,000.00