Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $307.44	Facility		$275.42	$275.42	$307.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.44 / $356.95 / $621.22	Professional		$307.44	$356.95	$621.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $55.08 / $146.71	Facility		$45.87	$55.08	$146.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.20 / $441.90 / $1,126.10	Professional		$426.20	$441.90	$1,126.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.68 / $101.01 / $159.63	Facility		$80.68	$101.01	$159.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $646.13 / $874.56 / $1,205.66	Professional		$646.13	$874.56	$1,205.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $687.19	Facility		$255.74	$255.74	$687.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.38 / $255.74 / $840.00	Professional		$217.38	$255.74	$840.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $777.00 / $801.00	Professional		$393.93	$777.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $647.48 / $2,570.06 / $2,663.75	Facility		$647.48	$2,570.06	$2,663.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.47 / $376.48 / $687.19	Facility		$69.47	$376.48	$687.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.38 / $255.74 / $263.41	Professional		$217.38	$255.74	$263.41
United Facility/Professional Professional Modifier Low / Median / High Price $297.75 / $337.79 / $688.73	Professional		$297.75	$337.79	$688.73