Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $2,698.95	Professional		$1,448.30	$1,448.30	$2,698.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $1,940.00 / $4,675.39	Professional		$79.69	$1,940.00	$4,675.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $30.00 / $35.70	Professional		$21.00	$30.00	$35.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $198.37 / $198.37	Professional		$198.37	$198.37	$198.37
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,448.30 / $1,448.30 / $2,744.90	Facility		$1,448.30	$1,448.30	$2,744.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.37 / $198.37 / $198.37	Professional		$198.37	$198.37	$198.37