Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Professional		$65.91	$65.91	$65.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $66.08 / $83.55	Professional		$50.55	$66.08	$83.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $209.42 / $301.52 / $301.52	Facility		$209.42	$301.52	$301.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $313.11 / $313.11	Professional		$87.69	$313.11	$313.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $135.16	Facility		$100.00	$100.00	$135.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $216.66 / $216.66 / $216.66	Professional		$216.66	$216.66	$216.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $317.43	Professional		$60.00	$85.00	$317.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $85.68	Facility		$65.91	$65.91	$85.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00