Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $25.00 / $25.00	Professional		$21.25	$25.00	$25.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $77.63 / $77.63	Facility		$77.63	$77.63	$77.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $86.02 / $96.87	Professional		$38.25	$86.02	$96.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.27 / $143.27 / $179.00	Facility		$143.27	$143.27	$179.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00