Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $41.40 / $47.26	Professional		$34.42	$41.40	$47.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $187.00 / $187.00	Professional		$163.00	$187.00	$187.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $28.25	Facility		$25.00	$25.00	$28.25