Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,420.00 / $10,454.00 / $22,788.00	Facility		$4,420.00	$10,454.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,969.00 / $11,769.00 / $24,401.00	Professional		$4,969.00	$11,769.00	$24,401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,800.00 / $24,456.00	Facility		$5,540.00	$12,800.00	$24,456.00
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 / $14,664.67 / $57,198.28	Facility		$92.60	$14,664.67	$57,198.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,319.00 / $13,563.00 / $22,827.00	Facility		$7,319.00	$13,563.00	$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