Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.67 / $403.43 / $451.20	Professional		$388.67	$403.43	$451.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.27 / $517.79 / $1,363.70	Facility		$428.27	$517.79	$1,363.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.53 / $616.45 / $1,142.24	Professional		$446.53	$616.45	$1,142.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $5,961.74	Facility		$57.50	$100.00	$5,961.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $451.21 / $647.86 / $1,371.90	Professional		$451.21	$647.86	$1,371.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.98 / $570.35 / $1,252.27	Professional		$422.98	$570.35	$1,252.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $958.00 / $2,658.41	Professional		$393.93	$958.00	$2,658.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $886.48 / $1,936.16 / $2,215.44	Facility		$886.48	$1,936.16	$2,215.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,572.63 / $5,676.00 / $5,676.00	Professional		$3,572.63	$5,676.00	$5,676.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $522.89 / $640.48 / $854.98	Facility		$522.89	$640.48	$854.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.77 / $608.03 / $1,246.31	Professional		$438.77	$608.03	$1,246.31
United Facility/Professional Professional Modifier Low / Median / High Price $353.80 / $527.30 / $1,184.00	Professional		$353.80	$527.30	$1,184.00