Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $870.96	Professional		$346.74	$588.84	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $2,137.96	Professional		$380.19	$616.60	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $194.98	Facility		$120.23	$120.23	$194.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $1,230.27	Professional		$114.82	$134.90	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,248.07 / $5,248.07	Facility		$933.25	$5,248.07	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $489.78 / $1,258.93	Facility		$104.71	$489.78	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $134.90	Professional		$114.82	$114.82	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $251.19 / $602.56	Facility		$30.90	$251.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $812.83	Professional		$316.23	$478.63	$812.83