Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.29 / $338.43 / $1,066.51	Facility		$216.29	$338.43	$1,066.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.20 / $271.43 / $730.27	Professional		$219.20	$271.43	$730.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.87 / $291.51 / $341.47	Facility		$243.87	$291.51	$341.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $284.39 / $605.76	Professional		$232.80	$284.39	$605.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $99.00 / $293.63	Facility		$76.20	$99.00	$293.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $270.18 / $270.18 / $667.88	Professional		$270.18	$270.18	$667.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Facility		$265.58	$265.58	$265.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $304.00 / $393.93	Professional		$268.00	$304.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.18 / $738.05 / $1,006.31	Facility		$270.18	$738.05	$1,006.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $345.69	Facility		$265.58	$265.58	$345.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $236.38 / $307.29 / $401.85	Professional		$236.38	$307.29	$401.85
United Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $284.39 / $488.72	Professional		$260.83	$284.39	$488.72