Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $290.07 / $504.56	Professional		$203.33	$290.07	$504.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $36.86 / $36.86	Facility		$33.27	$36.86	$36.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $360.42 / $663.90	Professional		$242.28	$360.42	$663.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $78.59 / $78.59	Facility		$78.59	$78.59	$78.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $454.52	Facility		$407.81	$407.81	$454.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.64 / $377.00 / $652.50	Professional		$346.64	$377.00	$652.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $589.00 / $801.00	Professional		$589.00	$589.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $369.06 / $2,978.91 / $3,087.50	Facility		$369.06	$2,978.91	$3,087.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $331.86 / $714.02	Facility		$66.39	$331.86	$714.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.64 / $407.81 / $407.81	Professional		$346.64	$407.81	$407.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.23 / $279.33 / $382.41	Professional		$223.23	$279.33	$382.41