Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $5,002.00 / $16,713.00	Facility		$127.09	$5,002.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $4,539.00 / $9,381.00	Facility		$2,060.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $2,157.94 / $3,366.10	Professional		$119.00	$2,157.94	$3,366.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $477.41	Facility		$100.00	$100.00	$477.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,061.88 / $2,061.88 / $2,144.36	Professional		$2,061.88	$2,061.88	$2,144.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $181.74	Facility		$45.89	$127.09	$181.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00