Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $288.40	Professional		$204.17	$239.88	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $426.58	Professional		$354.81	$354.81	$426.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $275.42	Professional		$154.88	$181.97	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $831.76	Professional		$288.40	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $288.40	Facility		$181.97	$239.88	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $181.97	Professional		$154.88	$154.88	$181.97