Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $94.00 / $7,650.83	Facility		$94.00	$94.00	$7,650.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $122.54	Professional		$94.00	$94.00	$122.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $293.00 / $876.00	Facility		$85.09	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $256.74 / $340.83	Professional		$117.15	$256.74	$340.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.97 / $967.10 / $1,849.39	Professional		$676.97	$967.10	$1,849.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $39.00 / $48.75	Professional		$39.00	$39.00	$48.75
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 $163.36 / $470.81 / $538.89	Facility		$163.36	$470.81	$538.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $746.58 / $746.58 / $824.48	Professional		$746.58	$746.58	$824.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $1,210.93 / $1,635.28	Facility		$134.41	$1,210.93	$1,635.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,006.32 / $1,009.11 / $1,097.03	Professional		$1,006.32	$1,009.11	$1,097.03
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $182.17 / $409.65	Professional		$127.37	$182.17	$409.65