Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $954.99	Professional		$147.91	$147.91	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $58.88	Facility		$51.29	$57.54	$58.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $169.82 / $457.09	Facility		$74.13	$169.82	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $79.43	Professional		$45.71	$60.26	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $588.84	Facility		$162.18	$199.53	$588.84
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 Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $588.84	Facility		$162.18	$199.53	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $213.80 / $323.59	Facility		$204.17	$213.80	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67