Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $77.00	Professional		$70.00	$70.00	$77.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $142.00 / $165.00	Professional		$29.40	$142.00	$165.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $159.00 / $301.50	Professional		$111.30	$159.00	$301.50
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 $85.09 / $254.31 / $254.31	Facility		$85.09	$254.31	$254.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $259.38 / $407.40	Professional		$254.84	$259.38	$407.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $60.00 / $85.00	Professional		$42.15	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.46 / $70.00 / $142.22	Facility		$59.46	$70.00	$142.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $2,250,000.00 / $2,400,000.00	Professional		$53.26	$2,250,000.00	$2,400,000.00