Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Facility		$826.50	$826.50	$826.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Professional		$826.50	$826.50	$826.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116,039.99 / $116,039.99 / $525,159.94	Facility		$116,039.99	$116,039.99	$525,159.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $52.44 / $89.76	Professional		$34.60	$52.44	$89.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $54.28 / $54.28	Professional		$54.28	$54.28	$54.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $75.16 / $75.16	Professional		$75.16	$75.16	$75.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $60.00 / $85.00	Professional		$35.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $826.50 / $1,107.51	Facility		$826.50	$826.50	$1,107.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00