Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $118.44 / $1,503.00	Facility		$54.00	$118.44	$1,503.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $77.26 / $2,840.75	Professional		$75.00	$77.26	$2,840.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $188.97 / $499.18	Facility		$112.02	$188.97	$499.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.72 / $177.50 / $482.91	Facility		$93.72	$177.50	$482.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00