Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $52.67 / $52.67	Facility		$47.20	$52.67	$52.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $42.82 / $52.67	Professional		$35.92	$42.82	$52.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $53.49 / $61.00	Professional		$42.63	$53.49	$61.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,054.80 / $2,572.80	Facility		$97.00	$1,054.80	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $106.00 / $253.52	Professional		$76.30	$106.00	$253.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $885.11 / $885.11	Facility		$80.16	$885.11	$885.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $283.32 / $360.83	Professional		$283.32	$283.32	$360.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.26 / $62.49 / $85.20	Facility		$50.26	$62.49	$85.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $2,250,000.00 / $2,400,000.00	Professional		$44.23	$2,250,000.00	$2,400,000.00