Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $29.20 / $29.20	Facility		$26.35	$29.20	$29.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $292.00 / $333.00	Professional		$292.00	$292.00	$333.00
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 $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $366.38 / $457.97	Professional		$360.40	$366.38	$457.97
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 $100.00 / $1,423.10 / $1,668.76	Facility		$100.00	$1,423.10	$1,668.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $574.00 / $574.00	Facility		$424.00	$574.00	$574.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $574.00	Professional		$360.40	$424.00	$574.00