Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $475.96 / $1,568.78	Facility		$157.00	$475.96	$1,568.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $157.58 / $475.96	Professional		$92.81	$157.58	$475.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.71 / $345.30 / $432.00	Facility		$241.71	$345.30	$432.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.04 / $300.00 / $544.00	Professional		$259.04	$300.00	$544.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $268.97 / $349.66	Professional		$62.94	$268.97	$349.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $306.66 / $487.87	Professional		$250.90	$306.66	$487.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,433.71 / $1,485.99	Facility		$400.00	$1,433.71	$1,485.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.67 / $1,655.67 / $2,291.25	Professional		$1,655.67	$1,655.67	$2,291.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.95 / $306.00 / $362.41	Facility		$170.95	$306.00	$362.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $581.16	Professional		$300.00	$300.00	$581.16