Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Facility		$180.20	$180.20	$180.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $261.29	Professional		$180.20	$180.20	$261.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $217.30 / $262.04	Facility		$185.61	$217.30	$262.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $212.00 / $381.60	Professional		$173.28	$212.00	$381.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $100.00 / $212.30	Facility		$76.20	$100.00	$212.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $201.40 / $201.40 / $482.42	Professional		$201.40	$201.40	$482.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $130.00 / $393.93	Professional		$89.00	$130.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.08 / $616.95 / $735.08	Facility		$288.08	$616.95	$735.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $203.81 / $257.69	Facility		$147.40	$203.81	$257.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $203.81 / $203.81	Professional		$113.49	$203.81	$203.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $229.67 / $300.33	Professional		$176.67	$229.67	$300.33
United Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $218.36 / $423.42	Professional		$183.63	$218.36	$423.42