Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $269.43 / $753.09	Facility		$269.43	$269.43	$753.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $269.43 / $753.09	Professional		$251.12	$269.43	$753.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $559.00 / $3,742.00	Facility		$312.00	$559.00	$3,742.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $357.40 / $822.14	Facility		$97.00	$357.40	$822.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.28 / $790.74 / $2,078.53	Facility		$385.28	$790.74	$2,078.53