Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,923.67 / $4,923.67 / $4,923.67	Facility		$4,923.67	$4,923.67	$4,923.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.80 / $261.80 / $4,923.67	Professional		$261.80	$261.80	$4,923.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $21.76 / $98.47	Facility		$21.76	$21.76	$98.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,395.80 / $3,631.19 / $6,214.84	Professional		$2,395.80	$3,631.19	$6,214.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.79 / $360.79 / $360.79	Facility		$360.79	$360.79	$360.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $360.79	Facility		$100.00	$100.00	$360.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $60.00 / $85.00	Professional		$35.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $290.60 / $5,662.22	Facility		$261.80	$290.60	$5,662.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,308.00 / $2,308.00 / $2,308.00	Professional		$2,308.00	$2,308.00	$2,308.00