Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,968.75 / $16,968.75 / $16,968.75	Facility		$16,968.75	$16,968.75	$16,968.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,480.00 / $4,480.00 / $4,480.00	Facility		$4,480.00	$4,480.00	$4,480.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
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 $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,480.00 / $4,480.00 / $2,400,000.00	Facility		$4,480.00	$4,480.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $1,000.00 / $11,228.00	Facility		$474.00	$1,000.00	$11,228.00