Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.12 / $589.54 / $1,068.18	Professional		$376.12	$589.54	$1,068.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $76.09 / $76.09	Facility		$68.68	$76.09	$76.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.60 / $744.13 / $1,630.13	Professional		$588.60	$744.13	$1,630.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $154.59 / $154.59 / $154.59	Facility		$154.59	$154.59	$154.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $756.71 / $756.71 / $756.71	Professional		$756.71	$756.71	$756.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $938.55	Facility		$359.59	$359.59	$938.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $305.64 / $1,687.50	Professional		$305.64	$305.64	$1,687.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $648.00 / $801.00	Professional		$638.07	$648.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $762.12 / $6,150.76 / $6,374.98	Facility		$762.12	$6,150.76	$6,374.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.57 / $589.54 / $1,474.30	Facility		$130.57	$589.54	$1,474.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $359.59 / $359.59	Professional		$305.64	$359.59	$359.59
United Facility/Professional Professional Modifier Low / Median / High Price $461.06 / $576.86 / $1,258.92	Professional		$461.06	$576.86	$1,258.92