Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.37 / $421.37 / $421.37	Facility		$421.37	$421.37	$421.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $442.97	Professional		$369.68	$369.68	$442.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.97 / $328.97 / $1,488.83	Facility		$328.97	$328.97	$1,488.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $3,780.00	Professional		$378.00	$378.00	$3,780.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,306.76 / $3,496.24 / $5,983.85	Professional		$2,306.76	$3,496.24	$5,983.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.05 / $1,408.05 / $1,408.05	Facility		$1,408.05	$1,408.05	$1,408.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $187.20	Professional		$187.20	$187.20	$187.20
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 $100.00 / $100.00 / $1,408.05	Facility		$100.00	$100.00	$1,408.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $421.37 / $891.60	Facility		$369.68	$421.37	$891.60
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