Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,044.76 / $3,044.76 / $3,044.76	Facility		$3,044.76	$3,044.76	$3,044.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $3,044.76 / $3,202.53	Professional		$1,557.09	$3,044.76	$3,202.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.67 / $389.84 / $1,038.35	Facility		$324.67	$389.84	$1,038.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,703.17 / $3,400.00 / $3,400.00	Professional		$1,703.17	$3,400.00	$3,400.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,354.98 / $1,834.01 / $2,528.37	Professional		$1,354.98	$1,834.01	$2,528.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $7,782.00 / $10,079.00	Professional		$638.07	$7,782.00	$10,079.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $3,044.76 / $8,403.54	Facility		$1,557.09	$3,044.76	$8,403.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,044.76 / $3,044.76 / $3,044.76	Professional		$3,044.76	$3,044.76	$3,044.76