Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $10,000.00	Facility		$2,511.89	$2,511.89	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,511.89	Professional		$2,398.83	$2,398.83	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $123.03	Professional		$61.66	$112.20	$123.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $346.74	Professional		$141.25	$181.97	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $831.76	Professional		$398.11	$630.96	$831.76
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 $141.25 / $2,398.83 / $3,890.45	Facility		$141.25	$2,398.83	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $2,398.83	Professional		$79.43	$79.43	$2,398.83