Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.73 / $618.64 / $1,103.42	Professional		$433.73	$618.64	$1,103.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $78.61 / $78.61	Facility		$70.95	$78.61	$78.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.60 / $768.71 / $1,415.90	Professional		$536.60	$768.71	$1,415.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $167.63 / $167.63 / $167.63	Facility		$167.63	$167.63	$167.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $820.63 / $820.63 / $820.63	Professional		$820.63	$820.63	$820.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $969.71	Facility		$344.45	$344.45	$969.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $344.45 / $1,642.50	Professional		$292.77	$344.45	$1,642.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,151.00 / $1,151.00	Professional		$638.07	$1,151.00	$1,151.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $787.26 / $6,352.54 / $6,584.12	Facility		$787.26	$6,352.54	$6,584.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.59 / $601.62 / $1,574.55	Facility		$141.59	$601.62	$1,574.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $344.45 / $344.45	Professional		$292.77	$344.45	$344.45
United Facility/Professional Professional Modifier Low / Median / High Price $445.22 / $595.91 / $1,200.69	Professional		$445.22	$595.91	$1,200.69