Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.16 / $258.16 / $258.16	Facility		$258.16	$258.16	$258.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $241.29 / $267.33	Professional		$202.75	$241.29	$267.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $293.00 / $876.00	Facility		$54.05	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $73.91 / $312.76	Professional		$53.51	$73.91	$312.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $115.93 / $362.51	Facility		$96.22	$115.93	$362.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $10.00 / $20.07	Professional		$7.00	$10.00	$20.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.85 / $317.52 / $562.21	Professional		$231.85	$317.52	$562.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $658.00 / $906.00	Professional		$476.00	$658.00	$906.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.73 / $1,076.31 / $1,231.20	Facility		$492.73	$1,076.31	$1,231.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.79 / $1,392.79 / $1,986.53	Professional		$1,392.79	$1,392.79	$1,986.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.05 / $296.24 / $396.70	Facility		$216.05	$296.24	$396.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.92 / $315.56 / $563.29	Professional		$227.92	$315.56	$563.29
United Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $245.96 / $547.98	Professional		$179.01	$245.96	$547.98