Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.23 / $598.02 / $1,040.44	Professional		$419.23	$598.02	$1,040.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $75.98 / $75.98	Facility		$68.58	$75.98	$75.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.56 / $743.01 / $1,369.00	Professional		$499.56	$743.01	$1,369.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $162.04 / $162.04 / $162.04	Facility		$162.04	$162.04	$162.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $840.94 / $840.94 / $936.88	Facility		$840.94	$840.94	$936.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.80 / $714.80 / $1,586.25	Professional		$714.80	$714.80	$1,586.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,196.00 / $1,196.00	Professional		$638.07	$1,196.00	$1,196.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $760.98 / $6,143.69 / $6,367.66	Facility		$760.98	$6,143.69	$6,367.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.90 / $677.56 / $1,522.35	Facility		$136.90	$677.56	$1,522.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.67 / $840.94 / $840.94	Professional		$374.67	$840.94	$840.94
United Facility/Professional Professional Modifier Low / Median / High Price $460.40 / $575.99 / $1,160.55	Professional		$460.40	$575.99	$1,160.55