Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $31.14 / $31.14	Facility		$27.98	$31.14	$31.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $31.14 / $61.05	Professional		$21.76	$31.14	$61.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $30.00 / $49.00	Professional		$28.01	$30.00	$49.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $136.00 / $259.58	Professional		$95.20	$136.00	$259.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $393.93 / $801.00	Professional		$105.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $124.17 / $371.87 / $371.87	Facility		$124.17	$371.87	$371.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $382.72 / $595.35	Professional		$382.72	$382.72	$595.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $81.45 / $115.50	Facility		$34.15	$81.45	$115.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $2,250,000.00 / $2,400,000.00	Professional		$73.05	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $129.00 / $147.00	Professional		$127.00	$129.00	$147.00