Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $825.00	Facility		$550.00	$550.00	$825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $550.00 / $850.40	Professional		$550.00	$550.00	$850.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $486.00 / $876.00	Facility		$260.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $665.87 / $1,245.91	Professional		$400.00	$665.87	$1,245.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $309.82 / $475.49	Facility		$97.00	$309.82	$475.49
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 $115.50 / $264.45 / $544.77	Facility		$115.50	$264.45	$544.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $1,476.00 / $4,161.00	Professional		$740.00	$1,476.00	$4,161.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $436.93 / $786.50	Facility		$159.44	$436.93	$786.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00