Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.00 / $938.54 / $1,163.61	Facility		$439.00	$938.54	$1,163.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.95 / $439.00 / $747.62	Professional		$364.95	$439.00	$747.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.08 / $717.23 / $1,608.59	Facility		$454.08	$717.23	$1,608.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $449.58 / $876.68	Professional		$251.23	$449.58	$876.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $97.90 / $528.91	Facility		$64.40	$97.90	$528.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $434.97 / $1,078.73	Professional		$434.97	$434.97	$1,078.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
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 $528.91 / $1,309.81 / $1,357.55	Facility		$528.91	$1,309.81	$1,357.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $627.77	Facility		$426.92	$426.92	$627.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $426.92 / $618.19	Professional		$261.62	$426.92	$618.19
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $560.66 / $1,094.65	Professional		$528.91	$560.66	$1,094.65