Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $1,146.00	Facility		$38.00	$41.00	$1,146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.10 / $841.86	Professional		$33.81	$45.10	$841.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.12 / $234.86 / $618.13	Facility		$194.12	$234.86	$618.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.08 / $231.48 / $350.00	Professional		$178.08	$231.48	$350.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $35.00 / $77.98	Professional		$24.50	$35.00	$77.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $350.00 / $525.00	Professional		$250.00	$350.00	$525.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $393.93 / $638.07	Professional		$216.00	$393.93	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $440.00	Facility		$270.00	$270.00	$440.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $4,512.00 / $4,512.00	Professional		$2,880.00	$4,512.00	$4,512.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $3,375.00 / $4,387.00	Facility		$407.00	$3,375.00	$4,387.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $350.00 / $446.50	Professional		$250.00	$350.00	$446.50
United Facility/Professional Professional Modifier Low / Median / High Price $314.36 / $314.36 / $314.36	Professional		$314.36	$314.36	$314.36