Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $495.39 / $839.00	Professional		$347.28	$495.39	$839.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $62.94 / $62.94	Facility		$56.80	$62.94	$62.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $615.49 / $1,289.44	Professional		$486.90	$615.49	$1,289.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $122.26 / $122.26 / $122.26	Facility		$122.26	$122.26	$122.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $776.51	Facility		$428.20	$428.20	$776.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.97 / $428.20 / $1,117.50	Professional		$363.97	$428.20	$1,117.50
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 $630.72 / $5,087.00 / $5,272.45	Facility		$630.72	$5,087.00	$5,272.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.28 / $477.02 / $1,219.31	Facility		$103.28	$477.02	$1,219.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.97 / $428.20 / $428.20	Professional		$363.97	$428.20	$428.20
United Facility/Professional Professional Modifier Low / Median / High Price $381.41 / $477.25 / $1,041.20	Professional		$381.41	$477.25	$1,041.20