Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $518.28	Facility		$261.14	$261.14	$518.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $313.37 / $876.23	Professional		$250.00	$313.37	$876.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.05 / $417.13 / $935.07	Facility		$277.05	$417.13	$935.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $274.89 / $614.69	Professional		$233.78	$274.89	$614.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $347.14	Facility		$77.09	$100.00	$347.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $274.17 / $274.17 / $608.54	Professional		$274.17	$274.17	$608.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Facility		$269.49	$269.49	$269.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.49 / $269.49 / $269.49	Professional		$269.49	$269.49	$269.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.04 / $308.16 / $591.82	Professional		$235.04	$308.16	$591.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $314.60 / $549.78 / $1,000.91	Facility		$314.60	$549.78	$1,000.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $269.49 / $373.44	Facility		$261.14	$269.49	$373.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $269.49 / $269.49	Professional		$261.14	$269.49	$269.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $287.26 / $443.95	Professional		$208.92	$287.26	$443.95
United Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $288.60 / $559.62	Professional		$271.89	$288.60	$559.62