Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $338.84	Professional		$87.10	$158.49	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $109.65	Professional		$38.02	$48.98	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $851.14	Professional		$776.25	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $144.54 / $338.84	Facility		$95.50	$144.54	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $316.23	Professional		$81.28	$123.03	$316.23