Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $373.08 / $909.76	Facility		$154.83	$373.08	$909.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $154.83 / $263.68	Professional		$128.71	$154.83	$263.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $131.79 / $214.49	Facility		$67.55	$131.79	$214.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $158.56 / $309.66	Professional		$45.49	$158.56	$309.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $98.70 / $160.19	Facility		$75.90	$98.70	$160.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $154.83 / $383.98	Professional		$154.83	$154.83	$383.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $308.00 / $420.00	Professional		$192.00	$308.00	$420.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.21 / $654.20 / $683.14	Facility		$177.21	$654.20	$683.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.33 / $158.56 / $221.41	Facility		$64.33	$158.56	$221.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $158.56 / $158.56	Professional		$47.38	$158.56	$158.56
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $320.38	Professional		$155.44	$155.44	$320.38