Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,318.26	Professional		$489.78	$794.33	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $3,715.35	Professional		$660.69	$954.99	$3,715.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $338.84	Facility		$208.93	$208.93	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,137.96	Professional		$1,230.27	$1,230.27	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $8,128.31 / $8,128.31	Facility		$977.24	$8,128.31	$8,128.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $776.25 / $2,041.74	Facility		$177.83	$776.25	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,258.93 / $1,258.93	Professional		$151.36	$1,258.93	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $389.05 / $912.01	Facility		$47.86	$389.05	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,230.27	Professional		$489.78	$741.31	$1,230.27