Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $269.52 / $412.99	Professional		$240.80	$269.52	$412.99
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 $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $296.00	Professional		$251.60	$251.60	$296.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $701.00 / $801.00	Professional		$424.00	$701.00	$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 $240.80 / $375.44 / $426.52	Facility		$240.80	$375.44	$426.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $269.52 / $296.00	Professional		$251.60	$269.52	$296.00