Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.96 / $628.92 / $1,121.84	Professional		$394.96	$628.92	$1,121.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $79.91 / $79.91	Facility		$72.12	$79.91	$79.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.24 / $781.38 / $1,439.50	Professional		$573.24	$781.38	$1,439.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $709.15 / $709.15 / $709.15	Professional		$709.15	$709.15	$709.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $985.49	Facility		$200.00	$200.00	$985.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $170.00 / $1,590.00	Professional		$64.16	$170.00	$1,590.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,135.00 / $1,135.00	Professional		$638.07	$1,135.00	$1,135.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $800.59 / $6,458.74 / $6,694.22	Facility		$800.59	$6,458.74	$6,694.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $605.65 / $1,548.11	Facility		$122.36	$605.65	$1,548.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $200.00 / $200.00	Professional		$64.16	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.05 / $605.87 / $881.96	Professional		$444.05	$605.87	$881.96