Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114,815.36 / $138,038.43 / $588,843.66	Facility		$114,815.36	$138,038.43	$588,843.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $34.67	Professional		$17.38	$30.90	$34.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $380.19	Professional		$147.91	$223.87	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $831.76	Professional		$104.71	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $1,023.29	Facility		$18.20	$18.20	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67