Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.72 / $1,513.03 / $1,875.87	Facility		$707.72	$1,513.03	$1,875.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.34 / $707.72 / $1,205.25	Professional		$588.34	$707.72	$1,205.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.09 / $327.07 / $871.17	Facility		$155.09	$327.07	$871.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $724.77 / $1,415.43	Professional		$232.39	$724.77	$1,415.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $852.67	Facility		$77.09	$100.00	$852.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.72 / $707.72 / $1,477.07	Professional		$707.72	$707.72	$1,477.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
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 $810.04 / $1,969.15 / $2,382.75	Facility		$810.04	$1,969.15	$2,382.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.72 / $724.77 / $1,012.04	Facility		$707.72	$724.77	$1,012.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $799.42	Professional		$724.77	$724.77	$799.42
United Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $1,450.40	Professional		$710.56	$710.56	$1,450.40