Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Facility		$14.46	$14.46	$14.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $14.46 / $14.46	Professional		$0.80	$14.46	$14.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $51.11 / $135.13	Facility		$42.44	$51.11	$135.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $59.00 / $400.70	Professional		$59.00	$59.00	$400.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $26.11 / $26.11	Professional		$26.11	$26.11	$26.11
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 $2.39 / $2.39 / $20.68	Facility		$2.39	$2.39	$20.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2,250,000.00 / $2,400,000.00	Professional		$2.39	$2,250,000.00	$2,400,000.00