Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $268.56 / $379.76	Professional		$217.15	$268.56	$379.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $29.94 / $78.84	Facility		$24.76	$29.94	$78.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $300.39 / $928.96	Professional		$258.14	$300.39	$928.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $91.90 / $113.07	Facility		$62.30	$91.90	$113.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.76 / $338.76 / $376.40	Professional		$338.76	$338.76	$376.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $318.39 / $318.39	Facility		$64.00	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $80.00 / $100.00	Facility		$76.00	$80.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $60.00 / $97.37	Professional		$47.50	$60.00	$97.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $87.82 / $323.70	Facility		$15.29	$87.82	$323.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $270.64 / $318.39	Professional		$43.32	$270.64	$318.39
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $25.82 / $57.83	Professional		$22.19	$25.82	$57.83