Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,476.00 / $6,423.00 / $17,054.00	Facility		$2,476.00	$6,423.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $8,252.10	Professional		$1,575.67	$1,575.67	$8,252.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,658.00 / $5,909.00 / $10,144.00	Facility		$3,658.00	$5,909.00	$10,144.00
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 $66.09 / $100.00 / $3,116.66	Facility		$66.09	$100.00	$3,116.66
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 $1,575.67 / $1,575.67 / $1,670.21	Facility		$1,575.67	$1,575.67	$1,670.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,301.00 / $9,131.00	Facility		$2,348.00	$4,301.00	$9,131.00