Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.10 / $695.10 / $695.10	Facility		$695.10	$695.10	$695.10
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 $267.64 / $319.98 / $423.88	Professional		$267.64	$319.98	$423.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,703.88	Facility		$66.90	$100.00	$1,703.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $115.60 / $237.95	Professional		$80.92	$115.60	$237.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.72 / $1,818.36 / $3,356.92	Facility		$750.72	$1,818.36	$3,356.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.39 / $409.37 / $592.67	Facility		$329.39	$409.37	$592.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.08 / $329.74 / $357.35	Professional		$329.08	$329.74	$357.35
United Facility/Professional Professional Modifier Low / Median / High Price $366.26 / $660.96 / $1,388.27	Professional		$366.26	$660.96	$1,388.27