Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $246.95 / $275.66	Facility		$246.95	$246.95	$275.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $349.74 / $584.02	Professional		$246.95	$349.74	$584.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $49.40 / $131.57	Facility		$41.14	$49.40	$131.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.18 / $469.20 / $1,009.80	Professional		$381.18	$469.20	$1,009.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $100.00 / $147.80	Facility		$72.34	$100.00	$147.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $598.25 / $809.75 / $1,116.31	Professional		$598.25	$809.75	$1,116.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $616.14	Facility		$429.00	$429.00	$616.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $429.00 / $810.00	Professional		$364.65	$429.00	$810.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $665.00 / $801.00	Professional		$393.93	$665.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $580.83 / $3,520.55 / $3,648.90	Facility		$580.83	$3,520.55	$3,648.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $378.39 / $843.85	Facility		$64.33	$378.39	$843.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $429.00 / $429.00	Professional		$364.65	$429.00	$429.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.63 / $294.87 / $548.42	Professional		$265.63	$294.87	$548.42