Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.55 / $1,786.05 / $1,810.00	Facility		$1,773.55	$1,786.05	$1,810.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.01 / $1,837.43 / $2,117.23	Professional		$1,768.01	$1,837.43	$2,117.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $55.62 / $55.62	Facility		$51.73	$55.62	$55.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $65.14 / $1,757.29	Professional		$48.40	$65.14	$1,757.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,422.08 / $2,031.54 / $3,555.20	Professional		$1,422.08	$2,031.54	$3,555.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,373.25 / $2,490.73 / $2,984.18	Professional		$2,373.25	$2,490.73	$2,984.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,540.70 / $1,873.08 / $3,121.80	Professional		$1,540.70	$1,873.08	$3,121.80
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 $50.00 / $85.00 / $85.00	Professional		$50.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,773.55 / $2,033.21 / $2,605.01	Facility		$1,773.55	$2,033.21	$2,605.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00