Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $96.12 / $764.33	Facility		$89.67	$96.12	$764.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $4,734.00 / $9,381.00	Facility		$1,894.00	$4,734.00	$9,381.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,321.49	Facility		$64.40	$100.00	$5,321.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $150.79 / $393.93	Professional		$116.44	$150.79	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,989.20	Facility		$55.00	$55.00	$4,989.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $136.50 / $225.77	Facility		$118.71	$136.50	$225.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,072.00	Facility		$2,348.00	$4,243.00	$9,072.00