Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $252.64 / $252.64	Professional		$252.64	$252.64	$252.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.64 / $510.00 / $1,610.00	Facility		$33.64	$510.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $35.45 / $58.36	Professional		$31.94	$35.45	$58.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $116.79 / $270.14	Facility		$68.31	$116.79	$270.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.64 / $252.64 / $328.43	Facility		$252.64	$252.64	$328.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00