Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $1,870.00 / $2,200.00	Facility		$830.00	$1,870.00	$2,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $830.00 / $1,413.49	Professional		$690.00	$830.00	$1,413.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.24 / $901.77 / $1,021.70	Facility		$845.24	$901.77	$1,021.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $850.00 / $2,014.50	Professional		$225.00	$850.00	$2,014.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $77.20 / $77.20	Facility		$77.20	$77.20	$77.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $216.00 / $535.67	Professional		$216.00	$216.00	$535.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $850.00 / $1,000.00	Facility		$850.00	$850.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $1,188.81	Facility		$212.00	$212.00	$1,188.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $1,850.00	Professional		$212.00	$212.00	$1,850.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $569.37	Professional		$212.00	$212.00	$569.37