Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.83 / $171.26 / $203.71	Facility		$76.83	$171.26	$203.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $76.83 / $131.99	Professional		$74.06	$76.83	$131.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $82.61 / $94.57	Facility		$67.47	$82.61	$94.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $80.23 / $163.65	Professional		$78.68	$80.23	$163.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $122.08 / $217.99	Facility		$96.60	$122.08	$217.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $85.81 / $203.08	Professional		$83.31	$85.81	$203.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $194.39 / $204.11	Professional		$89.84	$194.39	$204.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.22 / $134.22	Facility		$100.00	$134.22	$134.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.86 / $1,758.86 / $1,758.86	Professional		$1,758.86	$1,758.86	$1,758.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $177.69 / $177.69	Professional		$60.00	$177.69	$177.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.83 / $81.77 / $102.21	Facility		$76.83	$81.77	$102.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $2,250,000.00 / $2,400,000.00	Professional		$171.25	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $155.13	Professional		$92.57	$92.57	$155.13