Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.35 / $6,159.00 / $17,013.00	Facility		$1,390.35	$6,159.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $35.18 / $649.01	Professional		$27.58	$35.18	$649.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,491.00 / $4,604.00 / $6,240.00	Facility		$3,491.00	$4,604.00	$6,240.00
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 / $1,904.45	Facility		$66.09	$100.00	$1,904.45
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 $27.58 / $35.18 / $50.39	Facility		$27.58	$35.18	$50.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $1,800,000.00 / $2,400,000.00	Professional		$1,800,000.00	$1,800,000.00	$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