Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $261.02 / $690.14	Facility		$216.74	$261.02	$690.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $301.30 / $301.30	Professional		$190.00	$301.30	$301.30
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
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 $100.00 / $514.79 / $514.79	Facility		$100.00	$514.79	$514.79
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 $350.00 / $350.00 / $350.00	Facility		$350.00	$350.00	$350.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $2,250,000.00 / $2,400,000.00	Professional		$350.00	$2,250,000.00	$2,400,000.00