Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.33 / $2,006.33 / $2,006.33	Facility		$2,006.33	$2,006.33	$2,006.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.56 / $2,006.33 / $2,006.33	Professional		$233.56	$2,006.33	$2,006.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
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 $100.00 / $100.00 / $2,853.40	Facility		$100.00	$100.00	$2,853.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,219.31 / $2,536.35 / $2,536.35	Professional		$2,219.31	$2,536.35	$2,536.35
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 $233.56 / $2,006.33 / $4,494.18	Facility		$233.56	$2,006.33	$4,494.18
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