Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.77 / $326.74 / $565.16	Professional		$262.77	$326.74	$565.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $41.65 / $41.65	Facility		$37.59	$41.65	$41.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.50 / $416.53 / $788.56	Professional		$416.50	$416.53	$788.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $478.85 / $478.85 / $478.85	Professional		$478.85	$478.85	$478.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $771.94	Facility		$128.00	$128.00	$771.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $348.75	Professional		$108.80	$128.00	$348.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $801.00	Professional		$405.00	$405.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $3,288.67 / $3,408.55	Facility		$741.00	$3,288.67	$3,408.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $404.20 / $853.96	Facility		$262.77	$404.20	$853.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $128.00 / $131.84	Professional		$108.80	$128.00	$131.84
United Facility/Professional Professional Modifier Low / Median / High Price $372.27 / $402.32 / $810.64	Professional		$372.27	$402.32	$810.64