Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.14 / $208.14 / $208.14	Facility		$208.14	$208.14	$208.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $208.14 / $208.14	Professional		$184.38	$208.14	$208.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $79.45 / $309.26	Facility		$49.35	$79.45	$309.26
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 $100.00 / $100.00 / $4,341.64	Facility		$100.00	$100.00	$4,341.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $87.73 / $87.73	Professional		$87.73	$87.73	$87.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $208.14 / $396.42	Facility		$184.38	$208.14	$396.42
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