Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $211.34 / $325.45	Facility		$211.34	$211.34	$325.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $225.30 / $355.55	Professional		$183.17	$225.30	$355.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $254.85 / $298.54	Facility		$213.20	$254.85	$298.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $248.63 / $891.64	Professional		$211.47	$248.63	$891.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $99.00 / $248.63	Facility		$76.20	$99.00	$248.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $236.20 / $236.20 / $572.82	Professional		$236.20	$236.20	$572.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $231.00 / $431.00	Professional		$228.00	$231.00	$431.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $236.20 / $613.50 / $855.60	Facility		$236.20	$613.50	$855.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $302.22	Facility		$232.20	$232.20	$302.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.57 / $268.54 / $351.17	Professional		$206.57	$268.54	$351.17
United Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $248.63 / $427.29	Professional		$228.05	$248.63	$427.29