Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.20 / $388.20 / $433.34	Facility		$388.20	$388.20	$433.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $508.05 / $710.84	Professional		$394.63	$508.05	$710.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $77.64 / $206.79	Facility		$64.66	$77.64	$206.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.49 / $628.02 / $1,476.63	Professional		$546.49	$628.02	$1,476.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $134.69 / $209.21	Facility		$92.60	$134.69	$209.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.05 / $915.05 / $1,261.49	Professional		$676.05	$915.05	$1,261.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.86 / $968.88 / $968.88	Facility		$633.86	$968.88	$968.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.92 / $577.92 / $1,082.81	Professional		$577.92	$577.92	$1,082.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $710.00 / $801.00	Professional		$393.93	$710.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.95 / $3,720.55 / $3,856.19	Facility		$912.95	$3,720.55	$3,856.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $462.72 / $968.88	Facility		$72.69	$462.72	$968.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $577.92 / $649.71	Professional		$61.79	$577.92	$649.71
United Facility/Professional Professional Modifier Low / Median / High Price $422.42 / $470.28 / $790.74	Professional		$422.42	$470.28	$790.74