Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $109.52 / $289.55	Facility		$90.93	$109.52	$289.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $126.41 / $126.41	Professional		$58.35	$126.41	$126.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,452.60 / $2,041.56 / $2,996.01	Professional		$1,452.60	$2,041.56	$2,996.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.11 / $211.11 / $211.11	Professional		$211.11	$211.11	$211.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$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 $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,250,000.00 / $2,400,000.00	Professional		$40.00	$2,250,000.00	$2,400,000.00