Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $93.24 / $109.69	Facility		$41.38	$93.24	$109.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $41.38 / $70.47	Professional		$34.40	$41.38	$70.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $44.39 / $50.82	Facility		$36.26	$44.39	$50.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $954.67	Professional		$42.28	$42.28	$954.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $562.54 / $1,024.51	Facility		$97.00	$562.54	$1,024.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $43.08 / $106.84	Professional		$43.08	$43.08	$106.84
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 $1,806.98 / $4,977.24 / $5,158.68	Facility		$1,806.98	$4,977.24	$5,158.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $59.17 / $1,291.25	Facility		$43.45	$59.17	$1,291.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $1,086.04 / $2,150.39	Professional		$99.72	$1,086.04	$2,150.39
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $90.05	Professional		$42.28	$42.28	$90.05