Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.92 / $239.86 / $280.69	Facility		$199.92	$239.86	$280.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $239.86 / $331.25	Professional		$203.29	$239.86	$331.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.98 / $289.24 / $338.63	Facility		$241.98	$289.24	$338.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $282.19 / $482.54	Professional		$82.46	$282.19	$482.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.90 / $197.97	Facility		$75.70	$97.90	$197.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $268.08 / $560.83	Professional		$268.08	$268.08	$560.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Facility		$263.38	$263.38	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $240.00 / $393.93	Professional		$165.00	$240.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $306.39 / $537.52 / $924.60	Facility		$306.39	$537.52	$924.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.02 / $263.38 / $343.00	Facility		$96.02	$263.38	$343.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $263.38 / $263.38	Professional		$77.06	$263.38	$263.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $305.70 / $399.77	Professional		$235.16	$305.70	$399.77
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $282.19 / $480.01	Professional		$235.16	$282.19	$480.01