Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $213.80 / $338.84	Facility		$83.18	$213.80	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $275.42	Professional		$83.18	$102.33	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $199.53	Facility		$89.13	$100.00	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $169.82	Professional		$85.11	$102.33	$169.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $100.00	Facility		$83.18	$87.10	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $380.19	Professional		$83.18	$107.15	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $398.11	Professional		$112.20	$165.96	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $239.88	Facility		$95.50	$125.89	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $234.42	Professional		$91.20	$102.33	$234.42