Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.11 / $304.11 / $4,620.70	Facility		$304.11	$304.11	$4,620.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $212.83 / $304.11	Professional		$104.22	$212.83	$304.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.71 / $107.42 / $476.65	Facility		$85.71	$107.42	$476.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $909.55	Facility		$100.00	$100.00	$909.55
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 $104.22 / $304.11 / $435.58	Facility		$104.22	$304.11	$435.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,250,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,250,000.00