Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.32 / $534.79 / $778.22	Professional		$436.32	$534.79	$778.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $60.00 / $60.00	Facility		$54.15	$60.00	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.30 / $863.80 / $2,000.00	Professional		$773.30	$863.80	$2,000.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.54 / $2,355.54 / $2,355.54	Facility		$2,355.54	$2,355.54	$2,355.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.75 / $2,002.21 / $2,355.54	Professional		$1,203.75	$2,002.21	$2,355.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,691.96 / $4,660.41 / $4,830.32	Facility		$1,691.96	$4,660.41	$4,830.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $519.35 / $1,450.25	Facility		$64.67	$519.35	$1,450.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,038.75 / $2,355.54 / $2,355.54	Professional		$1,038.75	$2,355.54	$2,355.54
United Facility/Professional Professional Modifier Low / Median / High Price $365.24 / $437.19 / $953.88	Professional		$365.24	$437.19	$953.88