Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.12 / $1,870.18 / $2,057.19	Facility		$776.12	$1,870.18	$2,057.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.21 / $776.12 / $931.34	Professional		$645.21	$776.12	$931.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.83 / $896.91 / $1,122.10	Facility		$627.83	$896.91	$1,122.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.24 / $779.24 / $1,561.63	Professional		$779.24	$779.24	$1,561.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $98.70 / $941.69	Facility		$77.00	$98.70	$941.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $888.34 / $3,853.40 / $3,853.40	Facility		$888.34	$3,853.40	$3,853.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $1,109.84	Facility		$794.83	$794.83	$1,109.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $779.24 / $1,013.01 / $1,324.71	Professional		$779.24	$1,013.01	$1,324.71
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.83 / $2,580.21 / $2,580.21	Professional		$2,200.83	$2,580.21	$2,580.21