Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $239.88	Facility		$125.89	$125.89	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $181.97	Professional		$125.89	$125.89	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $154.88 / $223.87	Facility		$0.02	$154.88	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $302.00	Professional		$91.20	$147.91	$302.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $165.96 / $302.00	Facility		$97.72	$165.96	$302.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $537.03	Professional		$190.55	$323.59	$537.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $190.55	Facility		$97.72	$147.91	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $263.03	Professional		$79.43	$104.71	$263.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $208.93	Professional		$123.03	$158.49	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $302.00	Professional		$147.91	$165.96	$302.00