Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.10 / $287.20 / $287.20	Facility		$269.10	$287.20	$287.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $249.04 / $287.20	Professional		$236.03	$249.04	$287.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $305.69 / $426.00	Professional		$248.11	$305.69	$426.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $274.39 / $392.00 / $936.08	Professional		$274.39	$392.00	$936.08
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 $487.38 / $1,517.75 / $1,517.75	Facility		$487.38	$1,517.75	$1,517.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.46 / $1,733.46 / $2,412.67	Professional		$1,733.46	$1,733.46	$2,412.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $282.56 / $354.77 / $489.15	Facility		$282.56	$354.77	$489.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.38 / $2,250,000.00 / $2,400,000.00	Professional		$285.38	$2,250,000.00	$2,400,000.00