Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.93 / $1,143.96 / $2,244.57	Facility		$659.93	$1,143.96	$2,244.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.37 / $659.93 / $1,401.39	Professional		$239.37	$659.93	$1,401.39
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 $80.00 / $100.00 / $392.70	Facility		$80.00	$100.00	$392.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $392.70 / $448.80 / $448.80	Professional		$392.70	$448.80	$448.80
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 $239.37 / $659.93 / $2,521.90	Facility		$239.37	$659.93	$2,521.90
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