Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $164.60	Facility		$164.60	$164.60	$164.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $184.00 / $342.37	Professional		$154.01	$184.00	$342.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $191.72 / $225.53	Facility		$160.38	$191.72	$225.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $187.04 / $398.40	Professional		$159.75	$187.04	$398.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $187.04	Facility		$75.70	$97.40	$187.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.69 / $177.69 / $420.22	Professional		$177.69	$177.69	$420.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $210.00 / $393.93	Professional		$180.00	$210.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.69 / $374.08 / $675.45	Facility		$177.69	$374.08	$675.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $235.38	Facility		$175.41	$175.41	$235.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $197.81 / $258.67	Professional		$152.16	$197.81	$258.67
United Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $187.09 / $339.79	Professional		$161.32	$187.09	$339.79