Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.73 / $788.43 / $788.43	Facility		$738.73	$788.43	$788.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.41 / $678.92 / $788.43	Professional		$371.41	$678.92	$788.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.13 / $883.19 / $1,071.00	Professional		$649.13	$883.19	$1,071.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,054.80 / $2,572.80	Facility		$97.00	$1,054.80	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.10 / $623.00 / $1,460.18	Professional		$436.10	$623.00	$1,460.18
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 $1,287.90 / $3,299.61 / $3,299.61	Facility		$1,287.90	$3,299.61	$3,299.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,663.00 / $3,879.51 / $3,985.81	Professional		$3,663.00	$3,879.51	$3,985.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.29 / $678.92 / $1,205.50	Facility		$503.29	$678.92	$1,205.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.27 / $1,800,000.00 / $2,400,000.00	Professional		$433.27	$1,800,000.00	$2,400,000.00