Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,570.40	Facility		$812.83	$1,023.29	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,884.03	Professional		$1,096.48	$1,905.46	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $380.19	Professional		$275.42	$275.42	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $831.76	Professional		$141.25	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $100.00	Facility		$44.67	$44.67	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $380.19	Professional		$275.42	$275.42	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95