Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,382.00 / $16,713.00	Facility		$1,208.95	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $393.93	Professional		$120.00	$120.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $51.48	Facility		$36.00	$36.00	$51.48
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
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00