Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.26 / $920.43 / $1,641.69	Professional		$645.26	$920.43	$1,641.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $116.95 / $116.95	Facility		$105.55	$116.95	$116.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.90 / $1,143.60 / $2,106.60	Professional		$768.90	$1,143.60	$2,106.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $218.00 / $218.00 / $218.00	Facility		$218.00	$218.00	$218.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,067.23 / $1,067.23 / $1,067.23	Professional		$1,067.23	$1,067.23	$1,067.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $1,442.51	Facility		$396.70	$396.70	$1,442.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $396.70 / $2,077.50	Professional		$337.20	$396.70	$2,077.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,564.00 / $1,564.00	Professional		$638.07	$1,564.00	$1,564.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,171.56 / $9,451.79 / $9,796.40	Facility		$1,171.56	$9,451.79	$9,796.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.14 / $869.83 / $2,265.53	Facility		$184.14	$869.83	$2,265.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $396.70 / $396.70	Professional		$337.20	$396.70	$396.70
United Facility/Professional Professional Modifier Low / Median / High Price $662.41 / $886.51 / $1,290.46	Professional		$662.41	$886.51	$1,290.46