Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,848.00 / $11,970.00 / $24,401.00	Facility		$4,848.00	$11,970.00	$24,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,050.00 / $11,769.00 / $24,401.00	Professional		$5,050.00	$11,769.00	$24,401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $12,800.00 / $24,456.00	Facility		$5,486.00	$12,800.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $90.25	Professional		$8.01	$8.01	$90.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $11,407.14	Facility		$63.50	$100.00	$11,407.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,534.00 / $23,091.00	Facility		$9,182.00	$13,534.00	$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 / $19,500.00	Facility		$100.00	$100.00	$19,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,050.00 / $13,335.00 / $23,091.00	Facility		$9,050.00	$13,335.00	$23,091.00
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 $570.00 / $1,887.00 / $14,637.00	Facility		$570.00	$1,887.00	$14,637.00