Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.25 / $281.99 / $281.99	Facility		$264.25	$281.99	$281.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.85 / $264.25 / $281.99	Professional		$242.85	$264.25	$281.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $314.22 / $441.00	Professional		$243.39	$314.22	$441.00
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 $106.40 / $152.00 / $365.66	Professional		$106.40	$152.00	$365.66
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 $552.69 / $1,720.72 / $1,720.72	Facility		$552.69	$1,720.72	$1,720.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.62 / $1,905.62 / $2,735.55	Professional		$1,905.62	$1,905.62	$2,735.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.79 / $391.52 / $529.77	Facility		$301.79	$391.52	$529.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $1,800,000.00 / $2,400,000.00	Professional		$323.64	$1,800,000.00	$2,400,000.00