Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.99 / $675.62 / $675.62	Facility		$632.99	$675.62	$675.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.90 / $632.99 / $675.62	Professional		$382.90	$632.99	$675.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $708.00 / $756.53	Professional		$500.00	$708.00	$756.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,054.80 / $2,572.80	Facility		$97.00	$1,054.80	$2,572.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $176.00 / $419.28	Professional		$123.20	$176.00	$419.28
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 $1,471.74 / $3,202.14 / $3,202.14	Facility		$1,471.74	$3,202.14	$3,202.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,202.14 / $3,763.97 / $3,867.10	Professional		$3,202.14	$3,763.97	$3,867.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.10 / $587.38 / $1,316.25	Facility		$430.10	$587.38	$1,316.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $370.23 / $2,250,000.00 / $2,400,000.00	Professional		$370.23	$2,250,000.00	$2,400,000.00