Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $58.70 / $58.70	Facility		$54.97	$58.70	$58.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $50.53 / $58.70	Professional		$38.54	$50.53	$58.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $66.31 / $67.00	Professional		$49.49	$66.31	$67.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $89.00 / $197.58	Professional		$62.30	$89.00	$197.58
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 $79.70 / $247.97 / $247.97	Facility		$79.70	$247.97	$247.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $300.23 / $300.23 / $394.13	Professional		$300.23	$300.23	$394.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $66.12 / $84.06	Facility		$54.11	$66.12	$84.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $2,250,000.00 / $2,400,000.00	Professional		$46.60	$2,250,000.00	$2,400,000.00