Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $38.75 / $45.58	Facility		$17.20	$38.75	$45.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $17.20 / $29.29	Professional		$14.30	$17.20	$29.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $18.68 / $21.17	Facility		$17.51	$18.68	$21.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $17.61 / $41.74	Professional		$3.52	$17.61	$41.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $17.60 / $44.24	Professional		$17.60	$17.60	$44.24
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 $18.05 / $24.60 / $37.00	Facility		$18.05	$24.60	$37.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $38.33 / $41.44	Professional		$38.33	$38.33	$41.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $42.25	Professional		$20.72	$20.72	$42.25