Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $297.33 / $400.50	Facility		$280.50	$297.33	$400.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $297.33 / $297.33	Professional		$280.50	$297.33	$297.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.95 / $358.55 / $419.76	Facility		$299.95	$358.55	$419.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $349.80 / $745.09	Professional		$280.50	$349.80	$745.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $393.93 / $1,013.00	Professional		$364.00	$393.93	$1,013.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $313.50 / $660.00 / $1,237.50	Facility		$313.50	$660.00	$1,237.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $425.18	Facility		$326.48	$326.48	$425.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $292.50 / $382.50	Professional		$225.00	$292.50	$382.50
United Facility/Professional Professional Modifier Low / Median / High Price $330.28 / $349.80 / $635.30	Professional		$330.28	$349.80	$635.30