Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $89.26 / $89.26	Facility		$80.95	$89.26	$89.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $80.95 / $98.18	Professional		$27.37	$80.95	$98.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $81.20 / $113.00	Professional		$60.00	$81.20	$113.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $78.00 / $171.57	Professional		$54.60	$78.00	$171.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $284.16 / $284.16	Facility		$119.59	$284.16	$284.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $355.23 / $380.66 / $391.09	Professional		$355.23	$380.66	$391.09
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 $35.14 / $47.06 / $119.86	Facility		$35.14	$47.06	$119.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $2,250,000.00 / $2,400,000.00	Professional		$61.63	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $99.00 / $153.00	Professional		$61.00	$99.00	$153.00