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 $5,050.00 / $11,610.00 / $24,096.87	Professional		$5,050.00	$11,610.00	$24,096.87
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 $92.60 / $23,044.24 / $89,882.08	Facility		$92.60	$23,044.24	$89,882.08
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 $17,643.00 / $36,665.00 / $81,823.00	Facility		$17,643.00	$36,665.00	$81,823.00