Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $295.12 / $331.13	Professional		$0.02	$295.12	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $36.31	Facility		$18.20	$25.12	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $398.11	Facility		$190.55	$204.17	$398.11