Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $457.09	Facility		$91.20	$107.15	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $128.82	Professional		$75.86	$95.50	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $831.76	Professional		$104.71	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $691.83 / $1,318.26	Facility		$630.96	$691.83	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43