Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $126.02 / $290.47	Facility		$71.69	$126.02	$290.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $123.25 / $323.05	Professional		$93.50	$123.25	$323.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.57 / $116.63 / $137.09	Facility		$97.57	$116.63	$137.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $113.79 / $194.58	Professional		$47.86	$113.79	$194.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $94.40 / $113.79	Facility		$73.59	$94.40	$113.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $108.10 / $268.08	Professional		$108.10	$108.10	$268.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $136.00 / $393.93	Professional		$111.00	$136.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $227.58 / $414.53	Facility		$108.10	$227.58	$414.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $70.51 / $230.92	Professional		$53.76	$70.51	$230.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $106.62 / $143.19	Facility		$58.78	$106.62	$143.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $106.62 / $106.62	Professional		$45.25	$106.62	$106.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $120.84 / $158.02	Professional		$92.95	$120.84	$158.02
United Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Facility		$97.11	$97.11	$97.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $115.46 / $223.89	Professional		$104.52	$115.46	$223.89