Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.00 / $2,480.00 / $2,480.00	Professional		$2,480.00	$2,480.00	$2,480.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $1,450.57	Facility		$87.10	$100.00	$1,450.57
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 $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $2,728.00 / $5,555.20	Facility		$2,480.00	$2,728.00	$5,555.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $3,112.50 / $2,250,000.00	Professional		$2,988.00	$3,112.50	$2,250,000.00