Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Professional		$186.21	$186.21	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $426.58	Facility		$199.53	$229.09	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $398.11	Professional		$186.21	$218.78	$398.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $229.09	Facility		$83.18	$100.00	$229.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $512.86	Professional		$181.97	$234.42	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $398.11	Professional		$89.13	$151.36	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $524.81	Facility		$151.36	$263.03	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $309.03	Professional		$181.97	$234.42	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $446.68	Professional		$186.21	$218.78	$446.68