Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.94 / $668.69 / $1,166.79	Professional		$419.94	$668.69	$1,166.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.69 / $84.97 / $84.97	Facility		$76.69	$84.97	$84.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.60 / $830.84 / $1,891.46	Professional		$558.60	$830.84	$1,891.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $179.35 / $179.35 / $179.35	Facility		$179.35	$179.35	$179.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $877.97 / $877.97 / $877.97	Professional		$877.97	$877.97	$877.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $1,047.81	Facility		$469.00	$469.00	$1,047.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $469.00 / $1,706.25	Professional		$398.65	$469.00	$1,706.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,497.00 / $1,497.00	Professional		$638.07	$1,497.00	$1,497.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $850.86 / $6,867.59 / $7,117.97	Facility		$850.86	$6,867.59	$7,117.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.49 / $650.28 / $1,662.65	Facility		$151.49	$650.28	$1,662.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $469.00 / $469.00	Professional		$398.65	$469.00	$469.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.82 / $644.20 / $1,405.64	Professional		$514.82	$644.20	$1,405.64