Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $119.42 / $1,003.13	Facility		$119.42	$119.42	$1,003.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $119.42 / $140.91	Professional		$77.91	$119.42	$140.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $306.00 / $400.00	Professional		$50.25	$306.00	$400.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $102.00 / $248.65	Professional		$91.80	$102.00	$248.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $312.00	Facility		$80.00	$100.00	$312.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $119.42 / $170.77	Facility		$77.91	$119.42	$170.77
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