Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $384.63 / $538.79	Facility		$219.82	$384.63	$538.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $224.50 / $528.85	Professional		$175.00	$224.50	$528.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $276.70 / $507.73	Facility		$229.22	$276.70	$507.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $310.33 / $434.46	Professional		$212.28	$310.33	$434.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $258.61	Facility		$75.70	$97.40	$258.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $245.68 / $590.23	Professional		$245.68	$245.68	$590.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $273.00 / $661.00	Professional		$237.00	$273.00	$661.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.68 / $517.22 / $890.51	Facility		$245.68	$517.22	$890.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $314.33	Facility		$241.37	$241.37	$314.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $280.16 / $366.37	Professional		$215.51	$280.16	$366.37
United Facility/Professional Professional Modifier Low / Median / High Price $237.06 / $258.61 / $444.17	Professional		$237.06	$258.61	$444.17