Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $51.50 / $135.63	Facility		$42.59	$51.50	$135.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $65.86 / $108.23	Professional		$45.29	$65.86	$108.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $393.93	Professional		$135.00	$393.93	$393.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $13.78	Facility		$11.05	$11.05	$13.78