Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Professional		$707.95	$707.95	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $1,096.48	Facility		$218.78	$257.04	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $707.95	Professional		$251.19	$251.19	$707.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $14,125.38	Professional		$5,495.41	$8,511.38	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,548.82	Professional		$1,230.27	$1,288.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $831.76 / $1,380.38	Professional		$128.82	$831.76	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $100.00	Professional		$34.67	$34.67	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $794.33 / $1,698.24	Facility		$707.95	$794.33	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $5,248.07 / $5,248.07	Professional		$676.08	$5,248.07	$5,248.07