Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $480.00 / $1,035.00	Facility		$315.00	$480.00	$1,035.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,569.00 / $3,258.00	Facility		$550.00	$1,569.00	$3,258.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $100.00 / $1,158.00	Facility		$86.40	$100.00	$1,158.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $225.00 / $1,063.00	Facility		$135.00	$225.00	$1,063.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,250.00	Facility		$1,250.00	$1,250.00	$1,250.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.00 / $307.00 / $509.00	Facility		$307.00	$307.00	$509.00