Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $1,751.72 / $1,751.72	Professional		$24.00	$1,751.72	$1,751.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $184.45 / $184.45	Facility		$166.47	$184.45	$184.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,844.50 / $1,844.50	Professional		$1,300.00	$1,844.50	$1,844.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,080.00 / $1,080.00	Facility		$1,080.00	$1,080.00	$1,080.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,204.46 / $2,204.46 / $2,204.46	Professional		$2,204.46	$2,204.46	$2,204.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $2,018.50 / $2,569.00	Facility		$81.36	$2,018.50	$2,569.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $1,751.72 / $2,550.00	Facility		$24.00	$1,751.72	$2,550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,411.21 / $2,411.21 / $2,411.21	Professional		$2,411.21	$2,411.21	$2,411.21