Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.27 / $545.33 / $948.56	Professional		$382.27	$545.33	$948.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.53 / $69.29 / $69.29	Facility		$62.53	$69.29	$69.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.46 / $677.51 / $1,248.09	Professional		$455.46	$677.51	$1,248.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $132.59 / $132.59 / $132.59	Facility		$132.59	$132.59	$132.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $854.62	Facility		$766.64	$766.64	$854.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.64 / $651.64 / $1,537.50	Professional		$651.64	$651.64	$1,537.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,391.00 / $1,391.00	Professional		$638.07	$1,391.00	$1,391.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $693.95 / $5,600.27 / $5,804.45	Facility		$693.95	$5,600.27	$5,804.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $585.63 / $1,342.34	Facility		$111.98	$585.63	$1,342.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.12 / $651.64 / $766.64	Professional		$337.12	$651.64	$766.64
United Facility/Professional Professional Modifier Low / Median / High Price $350.08 / $525.10 / $1,058.02	Professional		$350.08	$525.10	$1,058.02