Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,420.00 / $10,454.00 / $22,788.00	Facility		$4,420.00	$10,454.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $2.67	Professional		$1.78	$1.78	$2.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,604.00 / $9,589.00	Facility		$2,143.00	$4,604.00	$9,589.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $96.60 / $112.54	Facility		$55.57	$96.60	$112.54
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $454.89 / $454.89	Professional		$19.60	$454.89	$454.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $2.67 / $2.67	Facility		$1.78	$2.67	$2.67
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