Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $98.16 / $134.80	Professional		$75.00	$98.16	$134.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $156.79 / $351.47	Facility		$92.57	$156.79	$351.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $87.95 / $183.53	Professional		$38.40	$87.95	$183.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $85.60 / $100.00	Facility		$61.56	$85.60	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $186.50	Professional		$98.16	$98.16	$186.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $115.83 / $222.45	Professional		$88.34	$115.83	$222.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $131.84 / $175.78	Facility		$90.59	$131.84	$175.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $142.12 / $206.66	Professional		$118.59	$142.12	$206.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $140.37	Facility		$96.58	$96.58	$140.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $98.16	Professional		$96.58	$96.58	$98.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $107.98 / $166.87	Professional		$78.53	$107.98	$166.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $110.92 / $200.37	Professional		$100.12	$110.92	$200.37