Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.11 / $261.73 / $676.17	Facility		$140.11	$261.73	$676.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $187.92 / $449.74	Professional		$148.05	$187.92	$449.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.46 / $204.95 / $240.12	Facility		$171.46	$204.95	$240.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $199.95 / $341.91	Professional		$86.10	$199.95	$341.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $99.00 / $199.95	Facility		$76.20	$99.00	$199.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $469.56	Professional		$189.95	$189.95	$469.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $246.00 / $556.00	Professional		$189.00	$246.00	$556.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $333.64 / $507.70 / $707.51	Facility		$333.64	$507.70	$707.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $186.76 / $243.04	Facility		$178.46	$186.76	$243.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $303.18	Professional		$186.76	$186.76	$303.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $213.56 / $279.27	Professional		$164.28	$213.56	$279.27
United Facility/Professional Professional Modifier Low / Median / High Price $180.42 / $199.95 / $343.67	Professional		$180.42	$199.95	$343.67