Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $1,820.00 / $1,820.00	Facility		$1,820.00	$1,820.00	$1,820.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $1,820.00 / $1,820.00	Professional		$640.00	$1,820.00	$1,820.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $199.48 / $424.92	Professional		$6.26	$199.48	$424.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$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 $640.00 / $1,820.00 / $4,076.80	Facility		$640.00	$1,820.00	$4,076.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00