Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $83.84 / $83.84	Facility		$80.64	$83.84	$83.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $80.64 / $98.12	Professional		$51.88	$80.64	$98.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $83.50 / $122.67	Professional		$67.93	$83.50	$122.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $618.04 / $1,764.67	Facility		$92.60	$618.04	$1,764.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $89.96 / $173.69	Professional		$62.97	$89.96	$173.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $93.14 / $157.43	Professional		$77.61	$93.14	$157.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $200.35 / $225.09 / $284.61	Facility		$200.35	$225.09	$284.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $453.33 / $453.33 / $453.33	Professional		$453.33	$453.33	$453.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $107.88 / $136.24	Facility		$88.73	$107.88	$136.24
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $93.60 / $173.96	Professional		$70.20	$93.60	$173.96