Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.02 / $83.02 / $248.50	Facility		$83.02	$83.02	$248.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $27.74 / $28.35	Professional		$27.33	$27.74	$28.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $57.76 / $152.69	Facility		$47.96	$57.76	$152.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $220.10	Professional		$220.10	$220.10	$220.10
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 / $113.53	Facility		$100.00	$100.00	$113.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $113.53 / $113.53	Professional		$113.53	$113.53	$113.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Facility		$2,400,000.00	$2,400,000.00	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $220.10	Professional		$220.10	$220.10	$220.10