Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $275.39 / $275.39	Facility		$24.96	$275.39	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $421.60	Professional		$275.39	$275.39	$421.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $366.57	Facility		$0.02	$0.04	$366.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $324.00 / $592.91	Professional		$275.39	$324.00	$592.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $92.60 / $317.52	Facility		$0.03	$92.60	$317.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $307.80 / $307.80 / $633.58	Professional		$307.80	$307.80	$633.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Facility		$302.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $648.00 / $1,215.00	Facility		$307.80	$648.00	$1,215.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $393.82	Facility		$302.39	$302.39	$393.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $351.00 / $459.00	Professional		$270.00	$351.00	$459.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $296.81 / $594.00	Professional		$278.10	$296.81	$594.00