Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $44.24 / $44.24	Facility		$38.70	$44.24	$44.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $28.57 / $40.99	Professional		$22.47	$28.57	$40.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $39.03 / $43.00	Professional		$31.70	$39.03	$43.00
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 $53.20 / $76.00 / $152.46	Professional		$53.20	$76.00	$152.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $36.59 / $36.59	Professional		$36.59	$36.59	$36.59
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 $245.70 / $283.32 / $283.32	Professional		$245.70	$283.32	$283.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $70.00	Professional		$30.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $40.90 / $58.95	Facility		$26.33	$40.90	$58.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $2,250,000.00 / $2,400,000.00	Professional		$47.98	$2,250,000.00	$2,400,000.00