Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,700.13 / $10,276.50 / $12,712.50	Facility		$3,700.13	$10,276.50	$12,712.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,759.30 / $4,759.30 / $4,759.30	Professional		$4,759.30	$4,759.30	$4,759.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.00 / $2,293.00 / $13,318.00	Facility		$946.00	$2,293.00	$13,318.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $317.00 / $330.00	Professional		$298.00	$317.00	$330.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,133.00 / $7,137.00	Facility		$100.00	$7,133.00	$7,137.00
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 $4,759.30 / $4,759.30 / $10,660.83	Facility		$4,759.30	$4,759.30	$10,660.83
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