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 $62.70 / $62.70 / $62.70	Facility		$62.70	$62.70	$62.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $69.47 / $78.23	Professional		$38.25	$69.47	$78.23
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 $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
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