Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.72 / $431.72 / $481.92	Facility		$431.72	$431.72	$481.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.72 / $502.50 / $736.37	Professional		$431.72	$502.50	$736.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $86.34 / $229.97	Facility		$71.90	$86.34	$229.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.33 / $759.20 / $1,531.92	Professional		$560.33	$759.20	$1,531.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $162.25 / $252.00	Facility		$92.60	$162.25	$252.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.05 / $915.05 / $1,261.49	Professional		$676.05	$915.05	$1,261.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $552.13 / $1,077.31	Facility		$552.13	$552.13	$1,077.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.31 / $552.13 / $1,082.81	Professional		$469.31	$552.13	$1,082.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $840.00 / $1,088.00	Professional		$393.93	$840.00	$1,088.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.02 / $3,720.55 / $3,856.19	Facility		$1,015.02	$3,720.55	$3,856.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.69 / $539.03 / $974.20	Facility		$72.69	$539.03	$974.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.31 / $552.13 / $672.59	Professional		$469.31	$552.13	$672.59
United Facility/Professional Professional Modifier Low / Median / High Price $464.45 / $528.52 / $939.37	Professional		$464.45	$528.52	$939.37