Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.86 / $586.86 / $655.10	Facility		$586.86	$586.86	$655.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.10 / $699.65 / $1,315.78	Professional		$655.10	$699.65	$1,315.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $117.37 / $312.61	Facility		$97.74	$117.37	$312.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.71 / $1,057.75 / $2,822.76	Professional		$941.71	$1,057.75	$2,822.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $253.19 / $358.22	Facility		$95.50	$253.19	$358.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,239.55 / $1,239.55 / $1,883.84	Professional		$1,239.55	$1,239.55	$1,883.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $1,464.53	Facility		$989.22	$989.22	$1,464.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.00 / $840.84 / $1,807.50	Professional		$806.00	$840.84	$1,807.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,453.00 / $1,882.00	Professional		$393.93	$1,453.00	$1,882.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,379.89 / $8,531.40 / $8,842.45	Facility		$1,379.89	$8,531.40	$8,842.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.90 / $873.08 / $2,044.92	Facility		$155.90	$873.08	$2,044.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $751.21 / $989.22 / $989.22	Professional		$751.21	$989.22	$989.22
United Facility/Professional Professional Modifier Low / Median / High Price $684.24 / $784.30 / $1,467.82	Professional		$684.24	$784.30	$1,467.82