Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.98 / $265.20 / $287.22	Professional		$238.98	$265.20	$287.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $35.75 / $35.75	Facility		$32.26	$35.75	$35.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $357.47 / $357.47	Professional		$261.20	$357.47	$357.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $180.13 / $180.13	Facility		$180.13	$180.13	$180.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $153.11 / $180.13	Professional		$153.11	$153.11	$180.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $474.00 / $801.00	Professional		$286.00	$474.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.13 / $238.98 / $287.22	Facility		$180.13	$238.98	$287.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $180.13 / $185.53	Professional		$153.11	$180.13	$185.53