Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $11,564.00 / $23,981.00	Facility		$3,696.00	$11,564.00	$23,981.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.86 / $933.86 / $19,207.86	Professional		$933.86	$933.86	$19,207.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,921.00 / $25,901.00	Facility		$5,540.00	$12,921.00	$25,901.00
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 $66.90 / $100.00 / $15,656.79	Facility		$66.90	$100.00	$15,656.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,302.00 / $15,248.00 / $23,091.00	Facility		$9,302.00	$15,248.00	$23,091.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $12,500.00	Professional		$393.93	$393.93	$12,500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $66,428.64	Facility		$100.00	$100.00	$66,428.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $980.55 / $11,574.00 / $22,849.00	Facility		$980.55	$11,574.00	$22,849.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $16,516.00 / $48,831.00	Facility		$8,830.00	$16,516.00	$48,831.00