Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $912.01 / $2,290.87	Facility		$363.08	$912.01	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $436.52	Professional		$354.81	$363.08	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $870.96	Facility		$389.05	$446.68	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $724.44	Professional		$371.54	$371.54	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $95.50 / $436.52	Facility		$56.23	$95.50	$436.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $912.01	Professional		$371.54	$446.68	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
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 $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $524.81 / $1,023.29	Facility		$363.08	$524.81	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $416.87 / $416.87	Professional		$47.86	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $851.14	Professional		$371.54	$407.38	$851.14