Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,916.51 / $4,916.51 / $25,762.32	Facility		$4,916.51	$4,916.51	$25,762.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.00 / $2,453.46 / $4,916.51	Professional		$2,398.00	$2,453.46	$4,916.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,259.79	Facility		$100.00	$100.00	$8,259.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,342.05 / $7,342.05 / $7,342.05	Professional		$7,342.05	$7,342.05	$7,342.05
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 $2,398.00 / $2,453.46 / $4,916.51	Facility		$2,398.00	$2,453.46	$4,916.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,453.46 / $2,250,000.00 / $2,400,000.00	Professional		$2,453.46	$2,250,000.00	$2,400,000.00