Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.58 / $698.58 / $698.58	Facility		$698.58	$698.58	$698.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $37.50 / $250.00	Professional		$25.60	$37.50	$250.00
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 $92.00 / $427.32 / $2,500.00	Professional		$92.00	$427.32	$2,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $39.10 / $39.10	Facility		$39.10	$39.10	$39.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25
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 / $145.87	Facility		$100.00	$100.00	$145.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $145.87 / $145.87 / $145.87	Professional		$145.87	$145.87	$145.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $39.10 / $2,400,000.00	Facility		$39.10	$39.10	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25