Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $750.46 / $750.46	Facility		$18.89	$750.46	$750.46
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 $455.00 / $455.00 / $2,500.00	Professional		$455.00	$455.00	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.96 / $967.96 / $967.96	Professional		$967.96	$967.96	$967.96
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 / $372.97	Facility		$100.00	$100.00	$372.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $372.97 / $372.97 / $372.97	Professional		$372.97	$372.97	$372.97
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 $967.96 / $967.96 / $967.96	Professional		$967.96	$967.96	$967.96