Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.31 / $166.91 / $191.07	Facility		$136.31	$166.91	$191.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $158.96 / $376.74	Professional		$142.00	$158.96	$376.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $96.60 / $158.96	Facility		$75.50	$96.60	$158.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $135.12 / $256.73	Professional		$135.12	$135.12	$256.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $306.00 / $585.00	Professional		$210.00	$306.00	$585.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.01 / $230.49 / $230.49	Facility		$151.01	$230.49	$230.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $201.99	Facility		$148.50	$148.50	$201.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $166.57 / $217.82	Professional		$128.13	$166.57	$217.82
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $179.62 / $324.14	Professional		$158.96	$179.62	$324.14