Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $140.91 / $140.91	Facility		$132.00	$140.91	$140.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.33 / $132.00 / $143.13	Professional		$121.33	$132.00	$143.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $158.32 / $161.00	Professional		$122.22	$158.32	$161.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $175.00 / $347.57	Professional		$122.50	$175.00	$347.57
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 $295.49 / $919.62 / $919.62	Facility		$295.49	$919.62	$919.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.33 / $1,009.33 / $1,462.20	Professional		$1,009.33	$1,009.33	$1,462.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $203.39 / $279.31	Facility		$148.91	$203.39	$279.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.06 / $179.32 / $2,400,000.00	Professional		$173.06	$179.32	$2,400,000.00