Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $64.38 / $85.89	Facility		$51.71	$64.38	$85.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $249.30 / $876.00	Facility		$52.66	$249.30	$876.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $28.52 / $131.37	Facility		$17.92	$28.52	$131.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $57.07 / $176.69	Facility		$28.30	$57.07	$176.69
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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $534.00 / $534.00	Professional		$534.00	$534.00	$534.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $57.07 / $180.59	Facility		$28.30	$57.07	$180.59
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