Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.21 / $1,059.21 / $1,059.21	Professional		$1,059.21	$1,059.21	$1,059.21
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 / $353.02 / $423.88	Professional		$267.64	$353.02	$423.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,852.64	Facility		$66.90	$100.00	$1,852.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $248.91 / $355.58 / $731.93	Professional		$248.91	$355.58	$731.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.94 / $2,656.95 / $4,905.07	Facility		$1,096.94	$2,656.95	$4,905.07
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 $950.50 / $1,059.21 / $3,544.00	Facility		$950.50	$1,059.21	$3,544.00