Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $407.38	Facility		$128.82	$162.18	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $169.82	Professional		$144.54	$169.82	$169.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $239.88	Professional		$100.00	$141.25	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $630.96	Professional		$125.89	$138.04	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $52.48 / $104.71	Facility		$50.12	$52.48	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43