Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.29 / $107.06 / $107.06	Facility		$100.29	$107.06	$107.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $100.29 / $107.06	Professional		$92.17	$100.29	$107.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $119.38 / $139.00	Professional		$92.49	$119.38	$139.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $139.00 / $338.84	Professional		$99.40	$139.00	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.57 / $1,281.80 / $1,281.80	Facility		$193.57	$1,281.80	$1,281.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $677.88 / $677.88 / $958.58	Professional		$677.88	$677.88	$958.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $138.74 / $192.46	Facility		$106.29	$138.74	$192.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $117.38 / $2,400,000.00	Professional		$113.33	$117.38	$2,400,000.00