Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,475.00 / $6,423.00 / $17,054.00	Facility		$2,475.00	$6,423.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.17 / $532.17 / $8,252.10	Professional		$532.17	$532.17	$8,252.10
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 $532.17 / $532.17 / $564.11	Facility		$532.17	$532.17	$564.11
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