Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $9,674.00 / $20,509.00	Facility		$1,240.00	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.61 / $690.12 / $1,383.34	Professional		$655.61	$690.12	$1,383.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Professional		$6.68	$6.68	$6.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $957.21 / $3,535.61	Facility		$97.00	$957.21	$3,535.61
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 / $3,728.65	Facility		$100.00	$100.00	$3,728.65
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 $655.61 / $986.87 / $1,773.20	Facility		$655.61	$986.87	$1,773.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00