Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $6.06 / $7.13	Facility		$2.69	$6.06	$7.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.69 / $4.58	Professional		$2.24	$2.69	$4.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $3.56 / $4.04	Facility		$3.34	$3.56	$4.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $225.00	Professional		$3.36	$3.36	$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 $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$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 $2.69 / $3.85 / $7.42	Facility		$2.69	$3.85	$7.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $6.48	Professional		$5.99	$5.99	$6.48