Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $248.00 / $248.00	Professional		$248.00	$248.00	$248.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $4,604.00 / $6,240.00	Facility		$3,645.00	$4,604.00	$6,240.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,100.20	Facility		$65.80	$100.00	$7,100.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
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 $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.65 / $2,117.16 / $2,187.02	Professional		$1,487.65	$2,117.16	$2,187.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,117.16 / $2,117.16 / $2,117.16	Professional		$2,117.16	$2,117.16	$2,117.16
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00