Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $758.58 / $2,238.72	Facility		$181.97	$758.58	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $275.42	Professional		$43.65	$43.65	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $645.65	Facility		$204.17	$257.04	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $363.08	Professional		$120.23	$239.88	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $223.87 / $1,659.59	Facility		$85.11	$223.87	$1,659.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $190.55	Professional		$70.79	$100.00	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
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 $44.67 / $48.98 / $2,137.96	Facility		$44.67	$48.98	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $977.24 / $1,513.56	Facility		$933.25	$977.24	$1,513.56