Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.53 / $452.53 / $505.15	Facility		$452.53	$452.53	$505.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.24 / $526.70 / $749.77	Professional		$474.24	$526.70	$749.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.07 / $70.93 / $188.92	Facility		$59.07	$70.93	$188.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.05 / $760.68 / $1,510.36	Professional		$560.05	$760.68	$1,510.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $166.14 / $258.05	Facility		$92.60	$166.14	$258.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $888.33 / $888.33 / $888.33	Professional		$888.33	$888.33	$888.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $1,129.25	Facility		$568.02	$568.02	$1,129.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $568.02 / $866.25	Professional		$482.82	$568.02	$866.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $818.00 / $1,060.00	Professional		$393.93	$818.00	$1,060.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,064.15 / $3,720.55 / $3,856.19	Facility		$1,064.15	$3,720.55	$3,856.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $549.99 / $974.20	Facility		$72.69	$549.99	$974.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $568.02 / $695.55	Professional		$482.82	$568.02	$695.55
United Facility/Professional Professional Modifier Low / Median / High Price $484.56 / $554.64 / $1,030.97	Professional		$484.56	$554.64	$1,030.97