Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $31.12 / $36.61	Facility		$13.81	$31.12	$36.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.81 / $23.52	Professional		$11.48	$13.81	$23.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $36.20 / $41.01	Facility		$33.93	$36.20	$41.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $225.00	Professional		$34.11	$34.11	$225.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $35.00 / $393.93	Professional		$22.00	$35.00	$393.93
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 $13.81 / $19.75 / $38.11	Facility		$13.81	$19.75	$38.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $33.28	Professional		$30.78	$30.78	$33.28