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 $61.22 / $61.22 / $61.22	Facility		$61.22	$61.22	$61.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $67.83 / $76.38	Professional		$38.25	$67.83	$76.38
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 $204.00 / $204.00 / $204.00	Professional		$204.00	$204.00	$204.00
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