Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $1,216.00 / $3,620.00	Facility		$572.00	$1,216.00	$3,620.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $143.00 / $237.00	Facility		$110.50	$143.00	$237.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $100.00 / $8,792.00	Facility		$78.90	$100.00	$8,792.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,785.00 / $5,620.00 / $10,872.00	Facility		$1,785.00	$5,620.00	$10,872.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,381.00 / $19,479.00	Facility		$141.00	$1,381.00	$19,479.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,034.00 / $10,000.00 / $10,000.00	Facility		$5,034.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,669.00 / $5,620.00 / $11,253.00	Facility		$1,669.00	$5,620.00	$11,253.00
United Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,826.00 / $4,727.00	Facility		$891.00	$1,826.00	$4,727.00