Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.06 / $489.34 / $872.73	Professional		$343.06	$489.34	$872.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.12 / $62.18 / $62.18	Facility		$56.12	$62.18	$62.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.78 / $608.02 / $1,119.80	Professional		$408.78	$608.02	$1,119.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $127.23 / $127.23	Facility		$127.23	$127.23	$127.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $687.90 / $766.96	Facility		$687.90	$687.90	$766.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.72 / $584.72 / $1,188.75	Professional		$584.72	$584.72	$1,188.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,060.00 / $1,060.00	Professional		$638.07	$1,060.00	$1,060.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $622.72 / $5,025.03 / $5,208.22	Facility		$622.72	$5,025.03	$5,208.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.48 / $554.27 / $1,216.61	Facility		$107.48	$554.27	$1,216.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $687.90 / $687.90	Professional		$306.58	$687.90	$687.90
United Facility/Professional Professional Modifier Low / Median / High Price $376.77 / $471.40 / $644.64	Professional		$376.77	$471.40	$644.64