Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $201.61 / $392.38	Professional		$182.43	$201.61	$392.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $41.68 / $41.68	Facility		$37.61	$41.68	$41.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $416.80 / $645.83	Professional		$355.00	$416.80	$645.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.96 / $535.96 / $535.96	Facility		$535.96	$535.96	$535.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $614.05	Professional		$354.68	$354.68	$614.05
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 $750.80 / $2,283.28 / $2,366.55	Facility		$750.80	$2,283.28	$2,366.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $287.27 / $592.90	Facility		$182.43	$287.27	$592.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $354.68 / $354.68	Professional		$182.43	$354.68	$354.68
United Facility/Professional Professional Modifier Low / Median / High Price $263.27 / $279.33 / $658.92	Professional		$263.27	$279.33	$658.92