Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.87 / $481.91 / $859.56	Professional		$337.87	$481.91	$859.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $61.24 / $61.24	Facility		$55.27	$61.24	$61.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.78 / $598.82 / $1,103.00	Professional		$402.78	$598.82	$1,103.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Facility		$111.00	$111.00	$111.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.32 / $755.32 / $755.32	Facility		$755.32	$755.32	$755.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.75 / $768.75 / $1,542.19	Professional		$768.75	$768.75	$1,542.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $827.00 / $827.00	Professional		$638.07	$827.00	$827.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $613.20 / $4,948.92 / $5,129.34	Facility		$613.20	$4,948.92	$5,129.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.76 / $528.17 / $1,226.57	Facility		$93.76	$528.17	$1,226.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $768.75 / $768.75	Professional		$75.70	$768.75	$768.75
United Facility/Professional Professional Modifier Low / Median / High Price $361.55 / $464.26 / $653.42	Professional		$361.55	$464.26	$653.42