Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,497.23 / $2,497.23 / $10,115.37	Facility		$2,497.23	$2,497.23	$10,115.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,374.87 / $2,374.87 / $2,497.23	Professional		$2,374.87	$2,374.87	$2,497.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $106.48 / $124.22	Professional		$63.13	$106.48	$124.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $155.88 / $245.03	Professional		$109.12	$155.88	$245.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.70 / $1,107.70 / $1,107.70	Professional		$1,107.70	$1,107.70	$1,107.70
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 $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $2,374.87 / $2,497.23	Facility		$95.00	$2,374.87	$2,497.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,374.87 / $2,250,000.00 / $2,400,000.00	Professional		$2,374.87	$2,250,000.00	$2,400,000.00