Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $45.37 / $53.37	Facility		$20.14	$45.37	$53.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $20.14 / $1,280.00	Professional		$16.73	$20.14	$1,280.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $22.10 / $28.30	Facility		$18.55	$22.10	$28.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $20.62 / $41.48	Professional		$19.64	$20.62	$41.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $23.77 / $52.96	Facility		$20.62	$23.77	$52.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $57.26	Professional		$20.14	$20.14	$57.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $58.00 / $393.93	Professional		$36.00	$58.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $90.98	Facility		$80.00	$85.00	$90.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $28.80 / $28.85	Facility		$21.15	$28.80	$28.85
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $41.85	Professional		$19.64	$19.64	$41.85