Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.69 / $277.69 / $309.98	Facility		$277.69	$277.69	$309.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.69 / $385.68 / $631.28	Professional		$277.69	$385.68	$631.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $55.54 / $147.94	Facility		$46.26	$55.54	$147.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.58 / $502.39 / $1,135.46	Professional		$428.58	$502.39	$1,135.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $101.84 / $161.47	Facility		$81.34	$101.84	$161.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $653.54 / $884.60 / $1,219.51	Professional		$653.54	$884.60	$1,219.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $693.00	Facility		$370.80	$370.80	$693.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $370.80 / $862.50	Professional		$315.18	$370.80	$862.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $801.00 / $805.00	Professional		$393.93	$801.00	$805.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.80 / $2,587.75 / $2,682.09	Facility		$652.80	$2,587.75	$2,682.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.27 / $379.67 / $693.00	Facility		$70.27	$379.67	$693.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $370.80 / $370.80	Professional		$315.18	$370.80	$370.80
United Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $340.65 / $752.90	Professional		$316.58	$340.65	$752.90