Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.24 / $494.22 / $793.63	Facility		$289.24	$494.22	$793.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.02 / $390.00 / $908.80	Professional		$274.02	$390.00	$908.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.08 / $378.78 / $473.89	Facility		$332.08	$378.78	$473.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $368.98 / $664.16	Professional		$191.97	$368.98	$664.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.90 / $368.98	Facility		$75.70	$97.90	$368.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $375.02 / $923.46	Professional		$375.02	$375.02	$923.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Facility		$368.58	$368.58	$368.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $395.00 / $496.00	Professional		$348.00	$395.00	$496.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $350.53 / $737.96 / $1,293.33	Facility		$350.53	$737.96	$1,293.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $789.52 / $789.52 / $789.52	Professional		$789.52	$789.52	$789.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $479.84	Facility		$368.58	$368.58	$479.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $306.86 / $398.92 / $521.66	Professional		$306.86	$398.92	$521.66
United Facility/Professional Professional Modifier Low / Median / High Price $356.08 / $394.76 / $678.25	Professional		$356.08	$394.76	$678.25