Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $933.25	Professional		$371.54	$602.56	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $2,570.40	Professional		$457.09	$660.69	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $234.42	Facility		$144.54	$144.54	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,202.26	Professional		$630.96	$630.96	$1,202.26
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 $676.08 / $5,623.41 / $5,623.41	Facility		$676.08	$5,623.41	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $602.56 / $1,348.96	Facility		$123.03	$602.56	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $741.31	Professional		$331.13	$630.96	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $269.15 / $645.65	Facility		$33.11	$269.15	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $851.14	Professional		$338.84	$512.86	$851.14