Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.13 / $1,175.30 / $3,774.83	Facility		$172.13	$1,175.30	$3,774.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $60.96 / $60.96	Professional		$60.96	$60.96	$60.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.13 / $200.70 / $452.50	Facility		$98.13	$200.70	$452.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.79 / $200.46 / $587.45	Facility		$163.79	$200.46	$587.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $330.67	Professional		$228.00	$228.00	$330.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $209.00 / $209.00	Facility		$209.00	$209.00	$209.00
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 $163.79 / $200.46 / $587.45	Facility		$163.79	$200.46	$587.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $330.67	Professional		$228.00	$228.00	$330.67
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00