Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.01 / $86.44 / $86.44	Facility		$78.01	$86.44	$86.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $864.43 / $864.43	Professional		$71.34	$864.43	$864.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,105.00 / $1,300.00	Professional		$1,105.00	$1,105.00	$1,300.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $735.90 / $936.60	Facility		$65.00	$735.90	$936.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $1,300.00	Facility		$49.91	$49.91	$1,300.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,300.00 / $1,300.00	Professional		$1,105.00	$1,300.00	$1,300.00