Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.86 / $548.86 / $548.86	Professional		$548.86	$548.86	$548.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,560.00 / $4,560.00 / $4,560.00	Professional		$4,560.00	$4,560.00	$4,560.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $65.00 / $638.07	Professional		$36.00	$65.00	$638.07
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 $548.86 / $548.86 / $1,229.45	Facility		$548.86	$548.86	$1,229.45
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
United Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $9,334.08	Professional		$4,800.00	$4,800.00	$9,334.08