Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.64 / $776.64 / $776.64	Facility		$776.64	$776.64	$776.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $776.64 / $776.64	Professional		$47.06	$776.64	$776.64
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 / $66.50	Professional		$40.00	$40.00	$66.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $268.66	Facility		$100.00	$100.00	$268.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $268.66 / $268.66 / $268.66	Professional		$268.66	$268.66	$268.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $77.83 / $776.64	Facility		$47.06	$77.83	$776.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $2,250,000.00 / $2,400,000.00	Professional		$105.00	$2,250,000.00	$2,400,000.00