Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $61.06 / $61.06	Facility		$53.50	$61.06	$61.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $47.91 / $61.06	Professional		$32.57	$47.91	$61.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $75.90	Professional		$45.00	$60.00	$75.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $120.32	Professional		$38.50	$55.00	$120.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $50.64 / $50.64	Professional		$50.64	$50.64	$50.64
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 $75.00 / $207.48 / $207.48	Facility		$75.00	$207.48	$207.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $262.88 / $327.45	Professional		$262.88	$262.88	$327.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $54.55 / $79.84	Facility		$35.07	$54.55	$79.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $2,250,000.00 / $2,400,000.00	Professional		$65.08	$2,250,000.00	$2,400,000.00