Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $12.88	Facility		$10.96	$10.96	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $14.13	Professional		$7.94	$10.00	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $15.85	Professional		$9.55	$12.30	$15.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,819.70 / $3,235.94	Facility		$100.00	$1,819.70	$3,235.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $45.71	Professional		$19.50	$26.30	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $831.76	Professional		$398.11	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $281.84	Professional		$107.15	$107.15	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.88 / $21.88	Facility		$8.91	$12.88	$21.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.80 / $60.26	Professional		$13.49	$13.80	$60.26