Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $237.75 / $447.24	Professional		$117.95	$237.75	$447.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $19.91 / $26.34	Professional		$14.33	$19.91	$26.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $161.91 / $161.91	Professional		$45.34	$161.91	$161.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.74 / $85.00	Professional		$32.34	$51.74	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $153.34 / $309.08	Facility		$117.95	$153.34	$309.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $1,800,000.00 / $2,400,000.00	Professional		$1,800,000.00	$1,800,000.00	$2,400,000.00