Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.57 / $542.57 / $605.66	Facility		$542.57	$542.57	$605.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.57 / $746.46 / $1,191.44	Professional		$542.57	$746.46	$1,191.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.37 / $108.51 / $289.02	Facility		$90.37	$108.51	$289.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.40 / $1,018.78 / $2,396.59	Professional		$837.40	$1,018.78	$2,396.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $201.25 / $321.23	Facility		$96.60	$201.25	$321.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,300.04 / $1,759.64 / $2,425.84	Professional		$1,300.04	$1,759.64	$2,425.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $1,354.02	Facility		$881.10	$881.10	$1,354.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $881.10 / $1,620.00	Professional		$748.94	$881.10	$1,620.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,043.00 / $1,351.00	Professional		$393.93	$1,043.00	$1,351.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,275.91 / $6,756.10 / $7,002.40	Facility		$1,275.91	$6,756.10	$7,002.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.79 / $805.16 / $1,712.72	Facility		$139.79	$805.16	$1,712.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.07 / $881.10 / $881.10	Professional		$628.07	$881.10	$881.10
United Facility/Professional Professional Modifier Low / Median / High Price $665.04 / $826.52 / $1,965.70	Professional		$665.04	$826.52	$1,965.70