Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.88 / $367.88 / $3,972.00	Facility		$367.88	$367.88	$3,972.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $242.10 / $367.88	Professional		$147.07	$242.10	$367.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $2,827.00 / $6,581.00	Facility		$1,225.00	$2,827.00	$6,581.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $61.28 / $66.73	Professional		$55.79	$61.28	$66.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $209.80 / $209.80 / $209.80	Facility		$209.80	$209.80	$209.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Professional		$106.20	$106.20	$106.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $298.00 / $516.00	Professional		$209.00	$298.00	$516.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $719.00	Professional		$60.00	$60.00	$719.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.60 / $242.10 / $463.53	Facility		$206.60	$242.10	$463.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $106.20 / $106.20	Professional		$106.20	$106.20	$106.20