Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $244.05 / $557.05	Facility		$134.83	$244.05	$557.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $149.63 / $424.00	Professional		$134.83	$149.63	$424.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.02 / $162.59 / $190.70	Facility		$136.02	$162.59	$190.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $158.62 / $271.24	Professional		$105.22	$158.62	$271.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $158.62	Facility		$75.70	$97.40	$158.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $150.69 / $372.51	Professional		$150.69	$150.69	$372.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $165.00 / $393.93	Professional		$145.00	$165.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $317.24 / $566.78	Facility		$150.69	$317.24	$566.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $148.32 / $192.81	Facility		$134.83	$148.32	$192.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $148.32 / $148.32	Professional		$83.08	$148.32	$148.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $170.21 / $222.58	Professional		$130.93	$170.21	$222.58
United Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $158.62 / $288.08	Professional		$135.08	$158.62	$288.08