Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.02 / $658.90 / $1,243.13	Professional		$501.02	$658.90	$1,243.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.96 / $90.81 / $90.81	Facility		$81.96	$90.81	$90.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.28 / $887.98 / $1,635.70	Professional		$617.28	$887.98	$1,635.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $170.77 / $170.77	Facility		$170.77	$170.77	$170.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.10 / $1,120.10 / $1,120.10	Facility		$1,120.10	$1,120.10	$1,120.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.20 / $1,140.20 / $2,371.88	Professional		$1,140.20	$1,140.20	$2,371.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,405.00 / $1,405.00	Professional		$638.07	$1,405.00	$1,405.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $909.52 / $7,340.19 / $7,607.79	Facility		$909.52	$7,340.19	$7,607.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.24 / $714.64 / $1,819.02	Facility		$144.24	$714.64	$1,819.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $1,140.20 / $1,140.20	Professional		$115.61	$1,140.20	$1,140.20
United Facility/Professional Professional Modifier Low / Median / High Price $504.71 / $688.37 / $1,386.99	Professional		$504.71	$688.37	$1,386.99