Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $620.57 / $1,106.80	Professional		$435.07	$620.57	$1,106.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $78.86 / $78.86	Facility		$71.17	$78.86	$78.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $771.09 / $1,420.20	Professional		$537.70	$771.09	$1,420.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $142.93 / $142.93	Facility		$142.93	$142.93	$142.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $972.61 / $999.36 / $999.36	Facility		$972.61	$999.36	$999.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $999.36 / $1,646.25	Professional		$849.46	$999.36	$1,646.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,011.00 / $1,011.00	Professional		$638.07	$1,011.00	$1,011.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $789.92 / $6,372.01 / $6,604.31	Facility		$789.92	$6,372.01	$6,604.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $709.98 / $1,527.32	Facility		$120.72	$709.98	$1,527.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $715.00 / $999.36 / $999.36	Professional		$715.00	$999.36	$999.36
United Facility/Professional Professional Modifier Low / Median / High Price $477.65 / $597.64 / $1,204.18	Professional		$477.65	$597.64	$1,204.18