Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,998.68 / $4,998.68 / $4,998.68	Professional		$4,998.68	$4,998.68	$4,998.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.48 / $844.48 / $844.48	Professional		$844.48	$844.48	$844.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $393.93 / $801.00	Professional		$129.00	$393.93	$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 $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,998.68 / $4,998.68 / $11,197.04	Facility		$4,998.68	$4,998.68	$11,197.04
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 $888.93 / $888.93 / $1,687.90	Professional		$888.93	$888.93	$1,687.90