Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.37 / $1,181.68 / $3,323.37	Facility		$332.37	$1,181.68	$3,323.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.84 / $321.58 / $397.85	Professional		$217.84	$321.58	$397.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $411.52 / $608.73	Professional		$310.70	$411.52	$608.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $406.92 / $1,587.16	Facility		$92.60	$406.92	$1,587.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.89 / $666.37 / $2,015.72	Facility		$360.89	$666.37	$2,015.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.79 / $320.16 / $531.29	Professional		$253.79	$320.16	$531.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $674.68 / $1,676.56 / $1,676.56	Facility		$674.68	$1,676.56	$1,676.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.79 / $2,070.79 / $2,704.05	Professional		$2,070.79	$2,070.79	$2,704.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.88 / $422.42 / $623.28	Facility		$303.88	$422.42	$623.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.79 / $320.16 / $531.29	Professional		$253.79	$320.16	$531.29
United Facility/Professional Facility Modifier Low / Median / High Price $370.58 / $370.58 / $370.58	Facility		$370.58	$370.58	$370.58
United Facility/Professional Professional Modifier Low / Median / High Price $275.10 / $356.93 / $857.27	Professional		$275.10	$356.93	$857.27