Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $149.83	Facility		$149.83	$149.83	$149.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $164.81 / $392.55	Professional		$141.38	$164.81	$392.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.15 / $180.68 / $211.71	Facility		$151.15	$180.68	$211.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $176.27 / $301.42	Professional		$123.37	$176.27	$301.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $99.00 / $193.90	Facility		$76.20	$99.00	$193.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $167.46 / $413.96	Professional		$167.46	$167.46	$413.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Facility		$164.66	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $255.00 / $518.00	Professional		$166.00	$255.00	$518.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.46 / $352.54 / $623.78	Facility		$167.46	$352.54	$623.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.32 / $164.66 / $214.26	Facility		$157.32	$164.66	$214.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $164.66 / $164.66	Professional		$68.23	$164.66	$164.66
United Facility/Professional Facility Modifier Low / Median / High Price $452.31 / $476.69 / $476.69	Facility		$452.31	$476.69	$476.69
United Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $176.27 / $341.81	Professional		$151.43	$176.27	$341.81