Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.10 / $1,080.70 / $2,199.00	Facility		$223.10	$1,080.70	$2,199.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $219.78 / $274.56	Professional		$171.00	$219.78	$274.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $570.00 / $1,202.00	Facility		$203.00	$570.00	$1,202.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $97.74 / $263.33	Professional		$42.30	$97.74	$263.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $137.29 / $303.50	Facility		$96.60	$137.29	$303.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.62 / $223.75 / $2,162.00	Facility		$101.62	$223.75	$2,162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $135.41 / $1,064.88	Professional		$135.41	$135.41	$1,064.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $475.94 / $1,182.70 / $1,182.70	Facility		$475.94	$1,182.70	$1,182.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.84 / $1,219.09 / $1,908.30	Professional		$1,189.84	$1,219.09	$1,908.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.17 / $295.94 / $451.65	Facility		$187.17	$295.94	$451.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $234.28 / $393.87	Professional		$135.41	$234.28	$393.87
United Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $84.98 / $261.08	Facility		$84.98	$84.98	$261.08
United Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $241.77 / $552.04	Professional		$173.08	$241.77	$552.04