Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.32 / $522.32 / $583.05	Facility		$522.32	$522.32	$583.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.05 / $654.70 / $1,468.89	Professional		$583.05	$654.70	$1,468.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.36 / $122.07 / $322.75	Facility		$101.36	$122.07	$322.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.35 / $940.94 / $3,665.34	Professional		$681.35	$940.94	$3,665.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $214.68 / $383.35	Facility		$96.60	$214.68	$383.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $91.49 / $144.13	Professional		$91.49	$91.49	$144.13
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 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $344.95 / $344.95 / $2,673.20	Professional		$344.95	$344.95	$2,673.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.78 / $181.32 / $1,110.83	Facility		$129.78	$181.32	$1,110.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $181.19	Professional		$91.49	$107.63	$181.19
United Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $85.83 / $742.15	Professional		$74.63	$85.83	$742.15