Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $408.34 / $706.29	Professional		$328.38	$408.34	$706.29
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 $549.23 / $611.10 / $985.49	Professional		$549.23	$611.10	$985.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $711.22 / $711.22 / $711.22	Professional		$711.22	$711.22	$711.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $964.72	Facility		$200.00	$200.00	$964.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $179.00 / $551.25	Professional		$170.00	$179.00	$551.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $663.00 / $801.00	Professional		$638.07	$663.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,215.39 / $4,109.93 / $4,259.80	Facility		$1,215.39	$4,109.93	$4,259.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $505.14 / $1,067.22	Facility		$328.38	$505.14	$1,067.22
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 $415.91 / $502.80 / $688.33	Professional		$415.91	$502.80	$688.33