Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,989.95 / $3,989.95 / $5,033.60	Facility		$3,989.95	$3,989.95	$5,033.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,768.95 / $3,989.95 / $5,033.60	Professional		$3,768.95	$3,989.95	$5,033.60
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 / $2,667.60	Facility		$100.00	$100.00	$2,667.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,371.19 / $2,371.19 / $2,371.19	Professional		$2,371.19	$2,371.19	$2,371.19
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 $3,768.95 / $3,768.95 / $5,033.60	Facility		$3,768.95	$3,768.95	$5,033.60
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