Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.72 / $573.49 / $1,203.46	Professional		$423.72	$573.49	$1,203.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $85.74 / $85.74	Facility		$77.38	$85.74	$85.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.29 / $838.37 / $1,544.20	Professional		$597.29	$838.37	$1,544.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $177.24 / $177.24 / $177.24	Facility		$177.24	$177.24	$177.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $867.68 / $867.68 / $867.68	Professional		$867.68	$867.68	$867.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $1,057.36	Facility		$707.88	$707.88	$1,057.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $707.88 / $1,563.75	Professional		$601.70	$707.88	$1,563.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,111.00 / $1,111.00	Professional		$638.07	$1,111.00	$1,111.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $858.86 / $6,929.56 / $7,182.19	Facility		$858.86	$6,929.56	$7,182.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.69 / $707.88 / $1,660.97	Facility		$149.69	$707.88	$1,660.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.73 / $707.88 / $707.88	Professional		$422.73	$707.88	$707.88
United Facility/Professional Professional Modifier Low / Median / High Price $485.66 / $649.83 / $889.61	Professional		$485.66	$649.83	$889.61