Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.67 / $197.08 / $197.08	Facility		$184.67	$197.08	$197.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $184.66 / $203.13	Professional		$169.72	$184.66	$203.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.36 / $220.80 / $260.00	Professional		$170.36	$220.80	$260.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $323.39 / $462.00 / $1,104.28	Professional		$323.39	$462.00	$1,104.28
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 $537.21 / $1,672.15 / $1,672.15	Facility		$537.21	$1,672.15	$1,672.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.16 / $1,750.16 / $2,658.53	Professional		$1,750.16	$1,750.16	$2,658.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.96 / $365.53 / $487.38	Facility		$213.96	$365.53	$487.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $2,400,000.00 / $2,400,000.00	Professional		$314.58	$2,400,000.00	$2,400,000.00