Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $4,650.00 / $8,475.00	Facility		$420.00	$4,650.00	$8,475.00
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 / $8,879.00	Facility		$78.90	$100.00	$8,879.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $6,301.00 / $10,886.00	Facility		$2,400.00	$6,301.00	$10,886.00
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 / $7,738.00 / $8,000.00	Facility		$5,034.00	$7,738.00	$8,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,785.00 / $6,301.00 / $11,258.00	Facility		$1,785.00	$6,301.00	$11,258.00
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $1,816.00 / $5,770.00	Facility		$888.00	$1,816.00	$5,770.00