Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.02 / $323.02 / $360.58	Facility		$323.02	$323.02	$360.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.58 / $442.35 / $662.87	Professional		$360.58	$442.35	$662.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.80 / $64.59 / $172.06	Facility		$53.80	$64.59	$172.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.48 / $586.55 / $1,438.21	Professional		$508.48	$586.55	$1,438.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $128.99 / $183.43	Facility		$91.30	$128.99	$183.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $631.45 / $631.45 / $874.05	Professional		$631.45	$631.45	$874.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $806.01	Facility		$356.59	$356.59	$806.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.10 / $356.59 / $863.42	Professional		$303.10	$356.59	$863.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $579.00 / $801.00	Professional		$393.93	$579.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $759.45 / $3,879.83 / $4,021.30	Facility		$759.45	$3,879.83	$4,021.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $392.65 / $995.39	Facility		$72.33	$392.65	$995.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.10 / $356.59 / $367.29	Professional		$303.10	$356.59	$367.29
United Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $396.20 / $874.96	Professional		$367.90	$396.20	$874.96