Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.80 / $896.80 / $896.80	Facility		$896.80	$896.80	$896.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.15 / $896.80 / $1,019.94	Professional		$549.15	$896.80	$1,019.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.33 / $104.38 / $274.89	Facility		$86.33	$104.38	$274.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $883.21 / $3,153.56	Professional		$700.20	$883.21	$3,153.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $216.55 / $385.57	Facility		$92.60	$216.55	$385.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $67.59 / $67.59	Facility		$64.00	$67.59	$67.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $4,077.00 / $5,096.25	Professional		$71.76	$4,077.00	$5,096.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.28 / $199.28	Facility		$100.00	$199.28	$199.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $149.78 / $307.04	Professional		$60.00	$149.78	$307.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $119.57 / $927.12	Facility		$92.08	$119.57	$927.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $112.33 / $178.24	Professional		$71.48	$112.33	$178.24
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $77.62 / $150.31	Professional		$50.74	$77.62	$150.31