Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $338.81	Facility		$84.49	$84.49	$338.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $208.00	Professional		$84.48	$84.49	$208.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $91.94 / $119.28	Facility		$76.04	$91.94	$119.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $104.28 / $169.97	Professional		$82.83	$104.28	$169.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $84.49 / $100.00	Facility		$70.20	$84.49	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $224.34 / $224.34 / $556.36	Professional		$224.34	$224.34	$556.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $160.00 / $393.93	Professional		$113.00	$160.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.51 / $275.97 / $372.75	Facility		$143.51	$275.97	$372.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $137.76	Facility		$92.77	$92.77	$137.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $115.87	Professional		$92.77	$92.77	$115.87
United Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $99.40 / $213.12	Professional		$92.09	$99.40	$213.12