Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.10 / $512.10 / $512.10	Facility		$512.10	$512.10	$512.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.10 / $545.49 / $764.78	Professional		$512.10	$545.49	$764.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $77.28 / $205.84	Facility		$64.36	$77.28	$205.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.55 / $842.76 / $1,731.15	Professional		$560.55	$842.76	$1,731.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $167.03 / $284.79	Facility		$92.60	$167.03	$284.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $826.05 / $910.00	Professional		$819.00	$826.05	$910.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $578.29	Facility		$578.29	$578.29	$578.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $578.29 / $866.25	Professional		$491.56	$578.29	$866.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $828.00 / $1,072.00	Professional		$393.93	$828.00	$1,072.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,932.07 / $3,720.55 / $3,856.19	Facility		$1,932.07	$3,720.55	$3,856.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $537.71 / $965.22	Facility		$72.69	$537.71	$965.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $578.29 / $686.19	Professional		$491.56	$578.29	$686.19
United Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $76.28 / $991.44	Professional		$47.09	$76.28	$991.44