Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.74 / $573.50 / $1,399.35	Professional		$492.74	$573.50	$1,399.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.97 / $99.69 / $99.69	Facility		$89.97	$99.69	$99.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.30 / $974.83 / $1,795.60	Professional		$671.30	$974.83	$1,795.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $187.51 / $187.51 / $187.51	Facility		$187.51	$187.51	$187.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $917.95 / $917.95 / $917.95	Professional		$917.95	$917.95	$917.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $1,229.36	Facility		$860.04	$860.04	$1,229.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $860.04 / $2,081.25	Professional		$731.03	$860.04	$2,081.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,602.00 / $1,602.00	Professional		$638.07	$1,602.00	$1,602.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $998.64 / $8,057.06 / $8,350.79	Facility		$998.64	$8,057.06	$8,350.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $860.04 / $1,931.22	Facility		$158.38	$860.04	$1,931.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $860.04 / $860.04	Professional		$491.54	$860.04	$860.04
United Facility/Professional Professional Modifier Low / Median / High Price $603.98 / $755.72 / $1,522.67	Professional		$603.98	$755.72	$1,522.67