Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.75 / $451.83 / $805.90	Professional		$316.75	$451.83	$805.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $57.41 / $57.41	Facility		$51.81	$57.41	$57.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.56 / $494.92 / $1,034.09	Professional		$421.56	$494.92	$1,034.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $108.28 / $108.28 / $108.28	Facility		$108.28	$108.28	$108.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $422.72 / $707.96	Facility		$422.72	$422.72	$707.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $359.31 / $1,326.56	Professional		$359.31	$359.31	$1,326.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $795.00 / $801.00	Professional		$638.07	$795.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.11 / $4,640.93 / $4,810.14	Facility		$575.11	$4,640.93	$4,810.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.45 / $435.11 / $1,112.40	Facility		$91.45	$435.11	$1,112.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $359.31 / $422.72	Professional		$283.14	$359.31	$422.72
United Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $435.24 / $633.57	Professional		$329.60	$435.24	$633.57