Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $69.18	Professional		$19.95	$30.20	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $47.86	Professional		$26.30	$38.90	$47.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $66.07	Professional		$29.51	$38.02	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $199.53	Professional		$158.49	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $724.44	Professional		$30.90	$30.90	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $47.86	Facility		$21.38	$30.90	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $79.43	Professional		$28.18	$44.67	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $85.11	Professional		$39.81	$57.54	$85.11