Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.40 / $484.40 / $540.72	Facility		$484.40	$484.40	$540.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.72 / $563.79 / $1,172.83	Professional		$540.72	$563.79	$1,172.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.14 / $334.98 / $885.66	Facility		$278.14	$334.98	$885.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.55 / $1,284.27 / $3,360.58	Professional		$678.55	$1,284.27	$3,360.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $208.99 / $373.20	Facility		$96.60	$208.99	$373.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $84.85 / $102.81	Professional		$84.85	$84.85	$102.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $2,074.00	Facility		$65.00	$100.00	$2,074.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $307.62 / $307.62 / $2,383.73	Professional		$307.62	$307.62	$2,383.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.58 / $176.54 / $993.83	Facility		$123.58	$176.54	$993.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $168.03	Professional		$84.85	$99.82	$168.03
United Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $79.59 / $579.96	Professional		$70.45	$79.59	$579.96