Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.01 / $541.20 / $678.78	Professional		$535.01	$541.20	$678.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $103.19 / $103.19	Facility		$93.13	$103.19	$103.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.90 / $1,051.47 / $1,214.00	Professional		$1,031.90	$1,051.47	$1,214.00
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 $536.83 / $536.83 / $536.83	Facility		$536.83	$536.83	$536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $456.31 / $536.83	Professional		$456.31	$456.31	$536.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $801.00 / $1,193.00	Professional		$638.07	$801.00	$1,193.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,511.34 / $3,511.34	Facility		$100.00	$3,511.34	$3,511.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $678.78 / $754.59	Facility		$535.01	$678.78	$754.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $536.83 / $536.83	Professional		$456.31	$536.83	$536.83