Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.44 / $528.44 / $1,089.08	Professional		$390.44	$528.44	$1,089.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.30 / $79.00 / $79.00	Facility		$71.30	$79.00	$79.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $772.45 / $1,715.64	Professional		$611.00	$772.45	$1,715.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $168.45 / $168.45 / $168.45	Facility		$168.45	$168.45	$168.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $824.64 / $824.64 / $824.64	Professional		$824.64	$824.64	$824.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $974.28	Facility		$450.00	$450.00	$974.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $450.00 / $1,410.00	Professional		$382.50	$450.00	$1,410.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,715.00 / $1,715.00	Professional		$638.07	$1,715.00	$1,715.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $791.07 / $6,384.41 / $6,617.18	Facility		$791.07	$6,384.41	$6,617.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.31 / $582.44 / $1,545.78	Facility		$142.31	$582.44	$1,545.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $450.00 / $450.00	Professional		$382.50	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.54 / $598.94 / $843.00	Professional		$478.54	$598.94	$843.00