Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.66 / $104.67 / $212.63	Facility		$51.66	$104.67	$212.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $130.00 / $337.93	Professional		$97.75	$130.00	$337.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.79 / $121.39 / $147.94	Facility		$104.79	$121.39	$147.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $118.43 / $202.52	Professional		$76.12	$118.43	$202.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $118.43	Facility		$75.70	$97.40	$118.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $116.98 / $289.17	Professional		$116.98	$116.98	$289.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $115.07 / $115.07	Professional		$61.30	$115.07	$115.07
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $106.59 / $106.59	Professional		$106.59	$106.59	$106.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $160.00 / $393.93	Professional		$118.00	$160.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.51 / $236.86 / $431.25	Facility		$112.51	$236.86	$431.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $106.31 / $246.28	Professional		$28.67	$106.31	$246.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.90 / $115.07 / $149.68	Facility		$109.90	$115.07	$149.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $74.54 / $115.07	Professional		$59.27	$74.54	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $123.14 / $249.53	Professional		$105.82	$123.14	$249.53