Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $510.00 / $1,610.00	Facility		$27.68	$510.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $29.17 / $48.03	Professional		$26.28	$29.17	$48.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $100.00 / $222.27	Facility		$56.21	$100.00	$222.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$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 $212.34 / $212.34 / $276.04	Facility		$212.34	$212.34	$276.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00