Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,041.74 / $3,890.45	Facility		$691.83	$2,041.74	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $436.52	Professional		$79.43	$112.20	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $58.88	Facility		$51.29	$57.54	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $467.74	Professional		$87.10	$165.96	$467.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $213.80 / $316.23	Facility		$97.72	$213.80	$316.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $79.43	Professional		$44.67	$60.26	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $2,511.89	Facility		$112.20	$245.47	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $346.74	Professional		$89.13	$158.49	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,698.24	Professional		$398.11	$630.96	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $2,630.27	Facility		$2,137.96	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $912.01	Professional		$660.69	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $295.12	Facility		$95.50	$147.91	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $309.03	Professional		$75.86	$144.54	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $218.78	Facility		$138.04	$144.54	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $645.65 / $776.25	Professional		$109.65	$645.65	$776.25