Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.76 / $244.76 / $273.22	Facility		$244.76	$244.76	$273.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $352.14 / $580.01	Professional		$244.76	$352.14	$580.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $48.95 / $130.38	Facility		$40.76	$48.95	$130.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.75 / $444.12 / $1,177.53	Professional		$392.75	$444.12	$1,177.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $105.61 / $154.56	Facility		$84.35	$105.61	$154.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $625.61 / $846.79 / $1,167.38	Professional		$625.61	$846.79	$1,167.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $610.74	Facility		$150.00	$150.00	$610.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $150.00 / $832.50	Professional		$127.50	$150.00	$832.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $415.00 / $801.00	Professional		$321.00	$415.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.49 / $2,247.90 / $2,329.88	Facility		$575.49	$2,247.90	$2,329.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $344.25 / $610.74	Facility		$67.27	$344.25	$610.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $150.00 / $283.37	Professional		$127.50	$150.00	$283.37
United Facility/Professional Professional Modifier Low / Median / High Price $263.30 / $297.92 / $460.10	Professional		$263.30	$297.92	$460.10