Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Facility		$224.00	$224.00	$224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $206.97 / $224.00	Professional		$139.26	$206.97	$224.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $134.87 / $300.00	Professional		$82.00	$134.87	$300.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $230.00 / $490.20	Professional		$161.00	$230.00	$490.20
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 $372.69 / $1,093.11 / $1,093.11	Facility		$372.69	$1,093.11	$1,093.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.82 / $1,066.36 / $1,723.73	Professional		$1,044.82	$1,066.36	$1,723.73
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 $167.69 / $273.18 / $399.04	Facility		$167.69	$273.18	$399.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $2,250,000.00 / $2,400,000.00	Professional		$548.12	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $164.00 / $915.00	Professional		$150.00	$164.00	$915.00