Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $580.54 / $989.48	Professional		$460.08	$580.54	$989.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.78 / $107.24 / $107.24	Facility		$96.78	$107.24	$107.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $1,072.35 / $1,380.62	Professional		$769.58	$1,072.35	$1,380.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,351.52 / $1,351.52 / $1,351.52	Facility		$1,351.52	$1,351.52	$1,351.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $1,543.13	Professional		$894.40	$894.40	$1,543.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,681.97 / $5,757.82 / $5,967.71	Facility		$1,681.97	$5,757.82	$5,967.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $724.41 / $1,495.12	Facility		$460.08	$724.41	$1,495.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.23 / $894.40 / $894.40	Professional		$333.23	$894.40	$894.40
United Facility/Professional Professional Modifier Low / Median / High Price $577.17 / $704.39 / $1,025.36	Professional		$577.17	$704.39	$1,025.36