Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $160.55 / $160.55	Facility		$147.60	$160.55	$160.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $152.52 / $184.36	Professional		$138.34	$152.52	$184.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $72.59 / $124.12	Professional		$60.31	$72.59	$124.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.37 / $714.54 / $817.48	Facility		$363.37	$714.54	$817.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.35 / $1,169.68 / $1,318.35	Professional		$1,137.35	$1,169.68	$1,318.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $217.99 / $282.92	Facility		$184.09	$217.99	$282.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $161.91 / $172.10	Professional		$161.91	$161.91	$172.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $183.68 / $406.45	Professional		$125.70	$183.68	$406.45