Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $5.81 / $390.25	Facility		$5.81	$5.81	$390.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $390.25	Professional		$5.81	$5.81	$390.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $85.65 / $96.80	Professional		$67.48	$85.65	$96.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $950.89 / $1,664.31	Facility		$99.00	$950.89	$1,664.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $94.11	Professional		$40.00	$40.00	$94.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.24 / $473.24 / $473.24	Facility		$473.24	$473.24	$473.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $171.28 / $533.75	Professional		$171.28	$171.28	$533.75
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 / $881.30	Facility		$100.00	$100.00	$881.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $656.92 / $656.92 / $656.92	Professional		$656.92	$656.92	$656.92
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 $5.81 / $5.81 / $522.94	Facility		$5.81	$5.81	$522.94
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