Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Facility		$30.75	$30.75	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $58.40	Professional		$30.75	$30.75	$58.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $33.67 / $38.15	Facility		$31.56	$33.67	$38.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $34.99 / $79.98	Professional		$31.29	$34.99	$79.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $32.60 / $90.32	Professional		$32.60	$32.60	$90.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $60.00 / $393.93	Professional		$47.00	$60.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $144.50 / $165.11	Facility		$60.46	$144.50	$165.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $43.97 / $78.13	Facility		$32.29	$43.97	$78.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $31.82 / $34.76	Professional		$31.82	$31.82	$34.76
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.80 / $81.80	Facility		$77.62	$81.80	$81.80
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $27.44 / $62.47	Professional		$24.28	$27.44	$62.47