Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.38 / $371.63 / $665.68	Facility		$103.38	$371.63	$665.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $78.66 / $204.95	Professional		$68.15	$78.66	$204.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $90.69 / $102.25	Professional		$73.53	$90.69	$102.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.97 / $967.10 / $2,431.19	Professional		$676.97	$967.10	$2,431.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $28.33 / $45.80	Professional		$23.11	$28.33	$45.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $2,613.82 / $2,613.82	Facility		$120.00	$2,613.82	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $463.54 / $463.54 / $674.48	Professional		$463.54	$463.54	$674.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $33.07 / $92.00	Facility		$28.20	$33.07	$92.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.17 / $97.85	Professional		$26.07	$26.17	$97.85
United Facility/Professional Facility Modifier Low / Median / High Price $82.31 / $82.31 / $82.31	Facility		$82.31	$82.31	$82.31
United Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $88.56 / $198.56	Professional		$60.48	$88.56	$198.56