Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $195.83 / $301.57	Facility		$96.72	$195.83	$301.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $219.32 / $576.00	Professional		$168.80	$219.32	$576.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.96 / $224.94 / $276.64	Facility		$195.96	$224.94	$276.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $219.45 / $375.26	Professional		$74.61	$219.45	$375.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.90 / $219.45	Facility		$75.70	$97.90	$219.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.87 / $218.87 / $541.04	Professional		$218.87	$218.87	$541.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $236.00 / $393.93	Professional		$209.00	$236.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.48 / $438.90 / $783.90	Facility		$208.48	$438.90	$783.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $103.56 / $460.78	Professional		$68.98	$103.56	$460.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $215.17 / $280.04	Facility		$97.20	$215.17	$280.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $215.17 / $215.17	Professional		$66.47	$215.17	$215.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $236.93 / $309.83	Professional		$182.25	$236.93	$309.83
United Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $230.39 / $394.88	Professional		$195.96	$230.39	$394.88