Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $107.15	Facility		$100.00	$100.00	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $134.90	Professional		$81.28	$100.00	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $144.54	Professional		$93.33	$120.23	$144.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $346.74	Professional		$120.23	$177.83	$346.74
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 $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $954.99	Professional		$676.08	$954.99	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $141.25 / $194.98	Facility		$97.72	$141.25	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $173.78	Professional		$79.43	$117.49	$173.78