Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $211.11	Professional		$191.91	$191.92	$211.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.13 / $306.55 / $687.19	Facility		$170.13	$306.55	$687.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $171.72 / $700.70	Professional		$161.54	$171.72	$700.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $96.30 / $161.54	Facility		$64.40	$96.30	$161.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $161.54 / $358.62	Professional		$161.54	$161.54	$358.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $188.55 / $188.55	Professional		$155.90	$188.55	$188.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $226.47 / $434.93	Professional		$172.73	$226.47	$434.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.25 / $340.08 / $585.00	Facility		$175.25	$340.08	$585.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $274.45	Facility		$188.55	$188.55	$274.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $188.55 / $191.92	Professional		$155.90	$188.55	$191.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $211.11 / $326.26	Professional		$153.54	$211.11	$326.26
United Facility/Professional Professional Modifier Low / Median / High Price $190.24 / $202.02 / $493.81	Professional		$190.24	$202.02	$493.81