Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.94 / $163.22 / $163.22	Facility		$152.94	$163.22	$163.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $145.96 / $163.22	Professional		$106.69	$145.96	$163.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.34 / $164.43 / $385.00	Professional		$141.34	$164.43	$385.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,034.25 / $2,572.80	Facility		$97.00	$1,034.25	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.50 / $245.00 / $493.37	Professional		$171.50	$245.00	$493.37
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 $301.79 / $939.13 / $939.13	Facility		$301.79	$939.13	$939.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.42 / $1,053.42 / $1,493.25	Professional		$1,053.42	$1,053.42	$1,493.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $213.58 / $273.87	Facility		$97.02	$213.58	$273.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $2,250,000.00 / $2,400,000.00	Professional		$176.75	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $141.00 / $269.29	Professional		$123.00	$141.00	$269.29