Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.29 / $633.66 / $1,130.21	Professional		$444.29	$633.66	$1,130.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $80.53 / $80.53	Facility		$72.68	$80.53	$80.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.40 / $694.20 / $1,450.30	Professional		$529.40	$694.20	$1,450.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $171.71 / $171.71 / $171.71	Facility		$171.71	$171.71	$171.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.97 / $999.36 / $999.36	Facility		$992.97	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $999.36 / $1,428.75	Professional		$849.46	$999.36	$1,428.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,210.00 / $1,210.00	Professional		$638.07	$1,210.00	$1,210.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $806.68 / $6,508.31 / $6,745.57	Facility		$806.68	$6,508.31	$6,745.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.03 / $724.98 / $1,570.36	Facility		$145.03	$724.98	$1,570.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $999.36 / $999.36	Professional		$650.00	$999.36	$999.36
United Facility/Professional Professional Modifier Low / Median / High Price $487.83 / $610.41 / $888.57	Professional		$487.83	$610.41	$888.57