Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.22 / $1,495.22 / $1,532.75	Facility		$1,495.22	$1,495.22	$1,532.75
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 $53.26 / $53.26 / $53.26	Professional		$53.26	$53.26	$53.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $801.00	Professional		$27.58	$27.58	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $149.05	Facility		$100.00	$100.00	$149.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $149.05 / $149.05	Professional		$149.05	$149.05	$149.05
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 $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80