Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.45 / $106.45 / $106.45	Facility		$106.45	$106.45	$106.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $131.72 / $132.65	Professional		$106.45	$131.72	$132.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $42.07 / $48.01	Professional		$13.50	$42.07	$48.01
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
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $238.00 / $801.00	Professional		$169.00	$238.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$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 $106.45 / $131.72 / $169.13	Facility		$106.45	$131.72	$169.13
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