Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $288.40	Facility		$269.15	$269.15	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $323.59	Professional		$204.17	$251.19	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $389.05	Professional		$245.47	$323.59	$389.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $851.14	Professional		$323.59	$446.68	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $398.11	Professional		$141.25	$141.25	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $2,398.83	Professional		$1,698.24	$2,398.83	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $489.78	Facility		$245.47	$354.81	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $436.52	Professional		$79.43	$288.40	$436.52