Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $16.93 / $16.93	Facility		$16.93	$16.93	$16.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.93 / $20.37	Professional		$11.46	$16.93	$20.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $37.00 / $39.00	Professional		$25.45	$37.00	$39.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $42.00 / $98.04	Professional		$29.40	$42.00	$98.04
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 $41.25 / $114.73 / $114.73	Facility		$41.25	$114.73	$114.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $120.20 / $183.90	Professional		$119.94	$120.20	$183.90
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 $16.93 / $28.91 / $39.76	Facility		$16.93	$28.91	$39.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $2,250,000.00 / $2,400,000.00	Professional		$21.03	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $48.00 / $82.00	Professional		$35.72	$48.00	$82.00