Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $245.47	Facility		$223.87	$223.87	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $245.47	Professional		$120.23	$154.88	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $331.13	Professional		$165.96	$251.19	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,819.70 / $3,235.94	Facility		$100.00	$1,819.70	$3,235.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $912.01	Professional		$218.78	$426.58	$912.01
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 $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,348.96	Professional		$1,258.93	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $239.88 / $407.38	Facility		$158.49	$239.88	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $263.03	Professional		$79.43	$158.49	$263.03