Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,200.00 / $2,200.00	Facility		$1,765.00	$2,200.00	$2,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,765.00 / $2,200.00	Professional		$1,000.00	$1,765.00	$2,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $52.50 / $64.16	Facility		$45.00	$52.50	$64.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.55 / $1,191.55 / $1,498.28	Professional		$1,191.55	$1,191.55	$1,498.28
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 $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
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 $1,000.00 / $1,853.25 / $3,146.00	Facility		$1,000.00	$1,853.25	$3,146.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,250,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,250,000.00