Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $190.55 / $371.54	Facility		$177.83	$190.55	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $316.23	Professional		$190.55	$190.55	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $229.09 / $501.19	Facility		$199.53	$229.09	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $1,445.44	Professional		$190.55	$213.80	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $223.87	Facility		$83.18	$100.00	$223.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $478.63	Professional		$169.82	$213.80	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $426.58	Professional		$173.78	$208.93	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $501.19	Facility		$190.55	$275.42	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $323.59	Professional		$154.88	$208.93	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $181.97	Facility		$169.82	$169.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $389.05	Professional		$190.55	$204.17	$389.05