Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.48 / $660.48 / $737.28	Facility		$660.48	$660.48	$737.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.28 / $768.80 / $1,502.32	Professional		$737.28	$768.80	$1,502.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $132.15 / $351.97	Facility		$110.05	$132.15	$351.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.26 / $1,220.20 / $3,171.89	Professional		$1,060.26	$1,220.20	$3,171.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $284.50 / $411.69	Facility		$96.60	$284.50	$411.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,392.76 / $1,392.76 / $2,164.98	Professional		$1,392.76	$1,392.76	$2,164.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,648.17	Facility		$1,122.47	$1,122.47	$1,648.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $954.10 / $2,077.50	Professional		$341.57	$954.10	$2,077.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,444.00 / $1,870.00	Professional		$393.93	$1,444.00	$1,870.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,952.75 / $9,804.04 / $10,161.49	Facility		$1,952.75	$9,804.04	$10,161.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.17 / $985.38 / $2,349.96	Facility		$179.17	$985.38	$2,349.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $1,122.47 / $1,122.47	Professional		$341.57	$1,122.47	$1,122.47
United Facility/Professional Professional Modifier Low / Median / High Price $758.72 / $883.25 / $1,779.65	Professional		$758.72	$883.25	$1,779.65