Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $238.61	Professional		$216.91	$216.92	$238.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.83 / $267.95 / $306.75	Facility		$218.83	$267.95	$306.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $255.20 / $423.63	Professional		$187.08	$255.20	$423.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $96.60 / $255.20	Facility		$75.50	$96.60	$255.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $242.44 / $242.44 / $601.25	Professional		$242.44	$242.44	$601.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $293.00 / $640.00	Professional		$170.00	$293.00	$640.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $622.16 / $754.02	Facility		$266.02	$622.16	$754.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $310.20	Facility		$238.19	$238.19	$310.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.31 / $238.19 / $238.19	Professional		$145.31	$238.19	$238.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $212.67 / $276.47 / $361.54	Professional		$212.67	$276.47	$361.54
United Facility/Professional Professional Modifier Low / Median / High Price $237.01 / $255.20 / $494.86	Professional		$237.01	$255.20	$494.86