Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $5,908.64	Facility		$222.25	$222.25	$5,908.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $322.26	Professional		$222.25	$222.25	$322.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.79 / $355.00 / $795.79	Facility		$235.79	$355.00	$795.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $257.23 / $690.38	Professional		$222.25	$257.23	$690.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $602.35 / $1,010.26	Professional		$100.00	$602.35	$1,010.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $209.67 / $399.36	Facility		$209.67	$209.67	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $399.36 / $399.36	Professional		$180.62	$399.36	$399.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $266.70 / $511.18	Professional		$200.03	$266.70	$511.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.70 / $1,111.25 / $1,205.75	Facility		$363.70	$1,111.25	$1,205.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $222.25 / $399.36	Facility		$209.67	$222.25	$399.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $222.25 / $399.36	Professional		$180.62	$222.25	$399.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $244.47 / $377.82	Professional		$177.80	$244.47	$377.82
United Facility/Professional Professional Modifier Low / Median / High Price $251.14 / $266.70 / $596.90	Professional		$251.14	$266.70	$596.90