Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.62 / $894.62 / $998.64	Facility		$894.62	$894.62	$998.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.64 / $1,186.75 / $1,775.46	Professional		$998.64	$1,186.75	$1,775.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.00 / $178.92 / $476.55	Facility		$149.00	$178.92	$476.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.73 / $1,560.38 / $3,684.18	Professional		$1,220.73	$1,560.38	$3,684.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $337.58 / $492.37	Facility		$96.60	$337.58	$492.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,704.84 / $2,307.56 / $3,181.20	Professional		$1,704.84	$2,307.56	$3,181.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.50 / $1,682.47 / $2,232.32	Facility		$149.50	$1,682.47	$2,232.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.30 / $1,491.30 / $2,887.50	Professional		$1,491.30	$1,491.30	$2,887.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $2,145.00 / $2,778.00	Professional		$393.93	$2,145.00	$2,778.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,985.99 / $9,600.49 / $9,950.49	Facility		$2,985.99	$9,600.49	$9,950.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.32 / $1,087.28 / $2,492.92	Facility		$183.32	$1,087.28	$2,492.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.82 / $1,491.30 / $1,917.64	Professional		$155.82	$1,491.30	$1,917.64
United Facility/Professional Facility Modifier Low / Median / High Price $95.87 / $756.47 / $1,359.53	Facility		$95.87	$756.47	$1,359.53
United Facility/Professional Professional Modifier Low / Median / High Price $962.38 / $1,076.26 / $2,001.73	Professional		$962.38	$1,076.26	$2,001.73