Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $11,255.00 / $23,282.00	Facility		$4,950.00	$11,255.00	$23,282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,494.00 / $16,737.61 / $16,737.61	Professional		$10,494.00	$16,737.61	$16,737.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $14,851.00 / $32,649.00	Facility		$5,863.00	$14,851.00	$32,649.00
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 $97.00 / $21,084.22 / $41,420.41	Facility		$97.00	$21,084.22	$41,420.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,319.00 / $13,678.00 / $22,827.00	Facility		$7,319.00	$13,678.00	$22,827.00
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 $6,873.00 / $14,189.00 / $22,827.00	Facility		$6,873.00	$14,189.00	$22,827.00
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 $11,918.00 / $23,865.00 / $54,637.00	Facility		$11,918.00	$23,865.00	$54,637.00