Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.55 / $608.35 / $1,591.00	Facility		$179.55	$608.35	$1,591.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $608.35	Professional		$44.59	$44.59	$608.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $238.56 / $628.29	Facility		$197.32	$238.56	$628.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $228.36 / $335.56	Professional		$119.00	$228.36	$335.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $107.80 / $1,321.94	Facility		$85.50	$107.80	$1,321.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $75.00 / $173.85	Professional		$67.50	$75.00	$173.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $343.67 / $343.67	Professional		$343.67	$343.67	$343.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $801.00	Professional		$393.93	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $44.59 / $57.97 / $657.02	Facility		$44.59	$57.97	$657.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $343.67 / $2,250,000.00	Professional		$343.67	$343.67	$2,250,000.00