Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $9,674.00 / $20,509.00	Facility		$287.56	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $798.15	Professional		$287.56	$287.56	$798.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $669.18 / $2,001.56	Facility		$97.00	$669.18	$2,001.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.25 / $282.05	Professional		$100.00	$123.25	$282.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,776.25	Facility		$100.00	$100.00	$2,776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $287.56 / $798.15	Facility		$287.56	$287.56	$798.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,464.00 / $2,761.00 / $7,655.00	Facility		$1,464.00	$2,761.00	$7,655.00