Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.84 / $741.51 / $1,289.80	Professional		$519.84	$741.51	$1,289.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $94.22 / $94.22	Facility		$85.03	$94.22	$94.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $812.25 / $1,697.10	Professional		$674.00	$812.25	$1,697.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $200.92 / $200.92 / $200.92	Facility		$200.92	$200.92	$200.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $1,162.07	Facility		$1,042.44	$1,042.44	$1,162.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.07 / $886.07 / $2,090.63	Professional		$886.07	$886.07	$2,090.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $994.00 / $994.00	Professional		$638.07	$994.00	$994.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $943.80 / $7,614.56 / $7,892.17	Facility		$943.80	$7,614.56	$7,892.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $797.20 / $1,825.15	Facility		$169.71	$797.20	$1,825.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.40 / $886.07 / $1,042.44	Professional		$458.40	$886.07	$1,042.44
United Facility/Professional Professional Modifier Low / Median / High Price $570.79 / $714.14 / $1,039.56	Professional		$570.79	$714.14	$1,039.56