Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.31 / $260.31 / $275.70	Professional		$260.31	$260.31	$275.70
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 $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $226.63	Professional		$192.64	$192.64	$226.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $633.00 / $801.00	Professional		$383.00	$633.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $264.83 / $288.33	Facility		$226.63	$264.83	$288.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $226.63 / $226.63	Professional		$192.64	$226.63	$226.63