Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.53 / $5,532.00 / $17,133.00	Facility		$1,689.53	$5,532.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,689.53 / $4,154.55	Professional		$1,500.00	$1,689.53	$4,154.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $4,333.00 / $6,240.00	Facility		$700.00	$4,333.00	$6,240.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $100.00 / $5,117.38	Facility		$57.10	$100.00	$5,117.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $6,512.00 / $6,512.00	Professional		$393.93	$6,512.00	$6,512.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.53 / $1,689.53 / $3,574.98	Facility		$1,689.53	$1,689.53	$3,574.98
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00