Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.16 / $183.16 / $504.31	Facility		$183.16	$183.16	$504.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $183.16 / $187.57	Professional		$176.54	$183.16	$187.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $236.08 / $528.88	Facility		$163.60	$236.08	$528.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $171.78 / $305.93	Professional		$163.60	$171.78	$305.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $224.26 / $410.96	Facility		$97.00	$224.26	$410.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.68 / $192.34 / $269.00	Facility		$154.68	$192.34	$269.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $203.53 / $784.20 / $803.40	Facility		$203.53	$784.20	$803.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $790.40 / $814.11 / $964.08	Professional		$790.40	$814.11	$964.08
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 $158.71 / $188.30 / $309.55	Facility		$158.71	$188.30	$309.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $284.20	Professional		$187.57	$187.57	$284.20
United Facility/Professional Professional Modifier Low / Median / High Price $604.65 / $604.65 / $604.65	Professional		$604.65	$604.65	$604.65