Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $225.78 / $367.13	Professional		$194.49	$225.78	$367.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.21 / $259.00 / $682.11	Facility		$214.21	$259.00	$682.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.58 / $331.41 / $620.40	Professional		$225.58	$331.41	$620.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $2,980.87	Facility		$57.50	$100.00	$2,980.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $225.66 / $323.97 / $686.20	Professional		$225.66	$323.97	$686.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $285.54 / $625.73	Professional		$211.49	$285.54	$625.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $612.00 / $1,329.20	Professional		$393.93	$612.00	$1,329.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $443.56 / $968.85 / $1,108.65	Facility		$443.56	$968.85	$1,108.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.70 / $2,805.00 / $2,805.00	Professional		$1,787.70	$2,805.00	$2,805.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.66 / $319.89 / $427.86	Facility		$261.66	$319.89	$427.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.56 / $304.33 / $623.77	Professional		$219.56	$304.33	$623.77
United Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $256.62 / $604.47	Professional		$183.30	$256.62	$604.47