Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.59 / $993.59 / $993.59	Facility		$993.59	$993.59	$993.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,002.00 / $1,060.57	Professional		$897.00	$1,002.00	$1,060.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $72.72 / $462.00	Facility		$64.45	$72.72	$462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $81.72 / $122.97	Professional		$55.54	$81.72	$122.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $492.00	Facility		$100.00	$100.00	$492.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $993.00 / $1,250.00	Facility		$375.00	$993.00	$1,250.00
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 $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $1,060.57 / $1,378.74	Facility		$993.00	$1,060.57	$1,378.74
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