Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.28 / $750.00 / $750.00	Professional		$575.28	$750.00	$750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $69.31 / $183.24	Facility		$57.55	$69.31	$183.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $810.05 / $810.05	Professional		$250.00	$810.05	$810.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $1,111.52 / $1,631.16	Professional		$593.54	$1,111.52	$1,631.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.50 / $627.50 / $695.00	Facility		$627.50	$627.50	$695.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $638.07 / $829.00	Professional		$500.00	$638.07	$829.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $759.90 / $759.90	Facility		$100.00	$759.90	$759.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.18 / $1,074.18 / $1,074.18	Professional		$1,074.18	$1,074.18	$1,074.18
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 $568.46 / $633.03 / $750.00	Facility		$568.46	$633.03	$750.00
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
United Facility/Professional Professional Modifier Low / Median / High Price $546.00 / $546.00 / $546.00	Professional		$546.00	$546.00	$546.00