Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.00 / $5,838.00 / $17,328.00	Facility		$1,798.00	$5,838.00	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $241.35 / $4,692.00	Professional		$104.40	$241.35	$4,692.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $6,017.00 / $19,951.00	Facility		$3,645.00	$6,017.00	$19,951.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,340.45	Facility		$66.00	$100.00	$7,340.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $21,262.00 / $21,262.00	Professional		$393.93	$21,262.00	$21,262.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,897.00 / $5,897.00	Facility		$55.00	$5,897.00	$5,897.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00