Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $12.27 / $12.70	Facility		$9.52	$12.27	$12.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $46.40 / $228.00	Professional		$16.80	$46.40	$228.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $58.02 / $98.17	Facility		$48.73	$58.02	$98.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.27 / $8,578.86 / $8,578.86	Professional		$303.27	$8,578.86	$8,578.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $214.45	Facility		$85.00	$100.00	$214.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $214.45	Professional		$214.45	$214.45	$214.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Professional		$25.05	$25.05	$25.05