Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $47.50 / $47.50	Facility		$47.50	$47.50	$47.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $47.50 / $52.67	Professional		$47.50	$47.50	$52.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $25.00 / $45.00	Professional		$2.70	$25.00	$45.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $29.52	Professional		$29.52	$29.52	$29.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $41.00 / $638.07	Professional		$23.00	$41.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $82.50	Facility		$50.00	$60.00	$82.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.52 / $1,800,000.00	Professional		$29.52	$29.52	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $52.50 / $110.04	Professional		$39.00	$52.50	$110.04