Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $151.16 / $177.85	Facility		$67.09	$151.16	$177.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $67.09 / $114.27	Professional		$55.78	$67.09	$114.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.33 / $72.89 / $82.59	Facility		$68.33	$72.89	$82.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $68.70 / $162.84	Professional		$67.97	$68.70	$162.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $77.20 / $77.20	Facility		$77.20	$77.20	$77.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $180.42	Professional		$72.75	$72.75	$180.42
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 $70.45 / $95.95 / $159.07	Facility		$70.45	$95.95	$159.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $149.55 / $161.68	Professional		$149.55	$149.55	$161.68
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $165.01	Professional		$80.84	$80.84	$165.01