Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $436.52	Professional		$389.05	$426.58	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $32.36 / $54.95	Professional		$12.88	$32.36	$54.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $436.52 / $707.95	Facility		$407.38	$436.52	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78