Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.24 / $533.24 / $595.25	Facility		$533.24	$533.24	$595.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.25 / $668.50 / $1,499.67	Professional		$595.25	$668.50	$1,499.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.48 / $124.62 / $329.50	Facility		$103.48	$124.62	$329.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.55 / $963.72 / $3,741.93	Professional		$695.55	$963.72	$3,741.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $219.16 / $391.35	Facility		$96.60	$219.16	$391.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $147.10	Professional		$93.39	$93.39	$147.10
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 $352.16 / $352.16 / $2,728.96	Professional		$352.16	$352.16	$2,728.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.49 / $185.11 / $1,134.08	Facility		$132.49	$185.11	$1,134.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $109.87 / $184.96	Professional		$93.39	$109.87	$184.96
United Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $87.62 / $571.41	Professional		$77.56	$87.62	$571.41