Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.58 / $120.59 / $2,264.00	Facility		$92.58	$120.59	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $98.38 / $385.60	Professional		$83.34	$98.38	$385.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $293.00 / $876.00	Facility		$32.61	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $110.71 / $213.45	Professional		$91.23	$110.71	$213.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $613.73	Facility		$57.50	$100.00	$613.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $103.38 / $245.01	Professional		$85.67	$103.38	$245.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.46 / $210.20 / $248.98	Facility		$186.46	$210.20	$248.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $117.98 / $267.70	Professional		$83.10	$117.98	$267.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $45.09 / $200.00	Professional		$37.19	$45.09	$200.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $456.19 / $740.25	Facility		$183.77	$456.19	$740.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $798.89 / $798.89	Professional		$732.60	$798.89	$798.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $74.73 / $154.33	Facility		$37.75	$74.73	$154.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $119.08 / $378.10	Professional		$78.33	$119.08	$378.10
United Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $89.75 / $159.88	Professional		$66.31	$89.75	$159.88