Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $831.76	Professional		$346.74	$562.34	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $2,187.76	Professional		$389.05	$616.60	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $199.53	Facility		$123.03	$123.03	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $1,122.02	Professional		$363.08	$426.58	$1,122.02
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 $630.96 / $5,248.07 / $5,248.07	Facility		$630.96	$5,248.07	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $478.63 / $1,258.93	Facility		$104.71	$478.63	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $426.58	Professional		$309.03	$363.08	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $251.19 / $602.56	Facility		$30.90	$251.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $794.33	Professional		$316.23	$478.63	$794.33