Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.82 / $294.44 / $410.35	Facility		$162.82	$294.44	$410.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $334.00 / $880.00	Professional		$224.00	$334.00	$880.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.95 / $341.52 / $416.40	Facility		$294.95	$341.52	$416.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $333.19 / $569.75	Professional		$126.07	$333.19	$569.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.90 / $333.19	Facility		$75.70	$97.90	$333.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $329.08 / $329.08 / $813.49	Professional		$329.08	$329.08	$813.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Facility		$323.87	$323.87	$323.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Professional		$323.87	$323.87	$323.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $418.00 / $552.00	Professional		$339.00	$418.00	$552.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.43 / $666.38 / $1,213.43	Facility		$352.43	$666.38	$1,213.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.05 / $323.87 / $421.05	Facility		$219.05	$323.87	$421.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.44 / $323.87 / $323.87	Professional		$293.44	$323.87	$323.87
United Facility/Professional Professional Modifier Low / Median / High Price $303.67 / $346.40 / $671.70	Professional		$303.67	$346.40	$671.70