Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.01 / $354.61 / $604.39	Professional		$281.01	$354.61	$604.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $61.11 / $61.11	Facility		$55.15	$61.11	$61.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.30 / $611.08 / $924.30	Professional		$468.30	$611.08	$924.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $825.54	Facility		$200.00	$200.00	$825.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $179.00 / $686.25	Professional		$170.00	$179.00	$686.25
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 $1,156.43 / $3,516.99 / $3,645.20	Facility		$1,156.43	$3,516.99	$3,645.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $432.26 / $913.25	Facility		$281.01	$432.26	$913.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.49 / $430.26 / $719.85	Professional		$352.49	$430.26	$719.85