Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $37.15	Professional		$15.85	$19.95	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $104.71	Professional		$20.42	$34.67	$104.71
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 $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $194.98	Professional		$181.97	$181.97	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.12 / $37.15	Facility		$17.78	$25.12	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $79.43	Professional		$25.12	$35.48	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $61.66	Professional		$30.90	$43.65	$61.66