Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.09 / $969.00 / $1,140.00	Facility		$430.09	$969.00	$1,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $430.09 / $732.44	Professional		$357.54	$430.09	$732.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.69 / $462.47 / $529.41	Facility		$377.69	$462.47	$529.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.45 / $440.45 / $1,052.67	Professional		$440.45	$440.45	$1,052.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $678.13 / $1,235.00	Facility		$97.00	$678.13	$1,235.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $466.37 / $466.37 / $1,156.59	Professional		$466.37	$466.37	$1,156.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Facility		$457.73	$457.73	$457.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Professional		$457.73	$457.73	$457.73
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 $518.17 / $1,313.95 / $1,313.95	Facility		$518.17	$1,313.95	$1,313.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $645.73	Facility		$457.73	$457.73	$645.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $958.63	Professional		$457.73	$457.73	$958.63
United Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $1,056.67	Professional		$518.17	$518.17	$1,056.67