Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $20.00 / $20.00	Professional		$5.55	$20.00	$20.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $24.00 / $47.64	Professional		$5.88	$24.00	$47.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $1,054.80 / $2,331.86	Facility		$98.20	$1,054.80	$2,331.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.00 / $39.29	Professional		$18.20	$26.00	$39.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $885.11 / $885.11	Facility		$17.44	$885.11	$885.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $8.75 / $20.00	Facility		$4.99	$8.75	$20.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $10.21 / $45.70	Professional		$9.60	$10.21	$45.70