Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.44 / $772.42 / $1,377.72	Professional		$541.44	$772.42	$1,377.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.60 / $98.17 / $98.17	Facility		$88.60	$98.17	$98.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.30 / $846.26 / $2,131.50	Professional		$738.30	$846.26	$2,131.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $209.29 / $209.29 / $209.29	Facility		$209.29	$209.29	$209.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,210.26 / $1,210.26 / $1,210.26	Facility		$1,210.26	$1,210.26	$1,210.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.30 / $1,232.30 / $2,564.06	Professional		$1,232.30	$1,232.30	$2,564.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,624.00 / $1,624.00	Professional		$638.07	$1,624.00	$1,624.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $983.03 / $7,933.12 / $8,222.39	Facility		$983.03	$7,933.12	$8,222.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.79 / $815.80 / $2,011.12	Facility		$176.79	$815.80	$2,011.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $1,232.30 / $1,232.30	Professional		$150.27	$1,232.30	$1,232.30
United Facility/Professional Professional Modifier Low / Median / High Price $545.34 / $744.02 / $1,623.74	Professional		$545.34	$744.02	$1,623.74