Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.79 / $151.16 / $151.16	Facility		$142.79	$151.16	$151.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $151.16 / $248.61	Professional		$135.66	$151.16	$248.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.15 / $209.73 / $354.85	Facility		$176.15	$209.73	$354.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.98 / $375.00 / $375.00	Professional		$240.98	$375.00	$375.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $189.39 / $738.70	Facility		$92.60	$189.39	$738.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $365.16 / $365.16 / $365.16	Professional		$365.16	$365.16	$365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $309.00 / $638.07	Professional		$290.00	$309.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $448.60 / $1,453.18 / $1,506.13	Facility		$448.60	$1,453.18	$1,506.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.81 / $1,409.81 / $2,322.38	Professional		$1,409.81	$1,409.81	$2,322.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.44 / $348.31 / $507.33	Facility		$223.44	$348.31	$507.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $322.51	Professional		$160.94	$160.94	$322.51
United Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $144.59 / $406.42	Professional		$144.59	$144.59	$406.42