Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $468.99 / $700.88	Facility		$312.89	$468.99	$700.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.66 / $378.61 / $780.86	Professional		$288.66	$378.61	$780.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.96 / $499.80 / $1,120.36	Facility		$331.96	$499.80	$1,120.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $329.37 / $861.12	Professional		$280.08	$329.37	$861.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $395.24	Facility		$77.09	$100.00	$395.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $773.49	Professional		$312.89	$312.89	$773.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $42.23 / $42.23	Professional		$42.23	$42.23	$42.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.61 / $375.48 / $691.00	Professional		$281.61	$375.48	$691.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $658.74 / $1,176.64	Facility		$338.50	$658.74	$1,176.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $423.31 / $507.34 / $669.08	Professional		$423.31	$507.34	$669.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $447.45	Facility		$307.55	$307.55	$447.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $312.89	Professional		$307.55	$307.55	$312.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $344.19 / $531.92	Professional		$250.32	$344.19	$531.92
United Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $329.52 / $610.03	Professional		$310.30	$329.52	$610.03