Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $37.95 / $308.14	Facility		$13.24	$37.95	$308.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $422.00 / $422.00	Professional		$14.40	$422.00	$422.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $57.76 / $152.69	Facility		$47.96	$57.76	$152.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $624.54 / $2,500.00	Professional		$28.00	$624.54	$2,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $34.92 / $34.92	Facility		$34.92	$34.92	$34.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
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 / $100.00 / $112.62	Facility		$100.00	$100.00	$112.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Professional		$120.06	$120.06	$120.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $34.92 / $2,400,000.00	Facility		$34.92	$34.92	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.10 / $14.10	Professional		$14.10	$14.10	$14.10