Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.65 / $766.92 / $1,367.84	Professional		$537.65	$766.92	$1,367.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $97.45 / $97.45	Facility		$87.95	$97.45	$97.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.70 / $961.80 / $1,755.10	Professional		$640.70	$961.80	$1,755.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $207.81 / $207.81 / $207.81	Facility		$207.81	$207.81	$207.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,201.95 / $1,201.95 / $1,201.95	Facility		$1,201.95	$1,201.95	$1,201.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.23 / $1,223.23 / $2,160.94	Professional		$1,223.23	$1,223.23	$2,160.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,349.00 / $1,349.00	Professional		$638.07	$1,349.00	$1,349.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $976.17 / $7,874.71 / $8,161.83	Facility		$976.17	$7,874.71	$8,161.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.51 / $768.48 / $1,996.31	Facility		$175.51	$768.48	$1,996.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $1,223.23 / $1,223.23	Professional		$124.05	$1,223.23	$1,223.23
United Facility/Professional Professional Modifier Low / Median / High Price $551.94 / $738.61 / $1,488.22	Professional		$551.94	$738.61	$1,488.22