Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $280.80	Professional		$79.00	$79.00	$280.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $444.31 / $996.50	Facility		$99.60	$444.31	$996.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $118.36 / $310.00	Professional		$90.63	$118.36	$310.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $84.20 / $200.75	Facility		$70.80	$84.20	$200.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $90.63 / $224.76	Professional		$90.63	$90.63	$224.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $393.93 / $855.00	Professional		$308.00	$393.93	$855.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $112.97 / $218.04	Facility		$79.00	$112.97	$218.04
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $221.41 / $399.56	Professional		$195.94	$221.41	$399.56