Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $29.81 / $29.81	Facility		$26.80	$29.81	$29.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $20.91 / $29.81	Professional		$13.33	$20.91	$29.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $33.35 / $40.00	Professional		$23.63	$33.35	$40.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.00 / $57.93	Professional		$18.20	$26.00	$57.93
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 $31.06 / $87.42 / $87.42	Facility		$31.06	$87.42	$87.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $119.84 / $139.88	Professional		$119.84	$119.84	$139.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $70.00 / $85.00	Professional		$29.38	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $24.98 / $42.51	Facility		$17.47	$24.98	$42.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $2,250,000.00 / $2,400,000.00	Professional		$18.20	$2,250,000.00	$2,400,000.00