Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,704.00 / $10,351.00 / $22,788.00	Facility		$4,704.00	$10,351.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,239.00 / $13,753.37 / $15,794.42	Professional		$6,239.00	$13,753.37	$15,794.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,191.00 / $13,747.00	Facility		$2,456.00	$6,191.00	$13,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.00 / $317.00 / $330.00	Professional		$298.00	$317.00	$330.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $4,461.02	Facility		$66.09	$100.00	$4,461.02
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 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,753.37 / $13,753.37 / $13,753.37	Facility		$13,753.37	$13,753.37	$13,753.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,604.00 / $20,495.00	Facility		$5,213.00	$9,604.00	$20,495.00