Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.00 / $454.30 / $728.00	Facility		$362.00	$454.30	$728.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $494.00 / $679.00	Facility		$494.00	$494.00	$679.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $224.00 / $575.00	Facility		$118.50	$224.00	$575.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $627.00 / $627.00	Facility		$627.00	$627.00	$627.00