Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $240.00 / $302.39	Professional		$175.85	$240.00	$302.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $97.16 / $255.71	Facility		$80.31	$97.16	$255.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.48 / $286.57 / $504.75	Professional		$179.48	$286.57	$504.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $286.85 / $458.42	Facility		$97.00	$286.85	$458.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $158.31 / $352.75	Professional		$110.82	$158.31	$352.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $214.01 / $394.00	Professional		$161.69	$214.01	$394.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $359.86 / $991.21 / $1,027.33	Facility		$359.86	$991.21	$1,027.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.73 / $1,234.73 / $1,584.08	Professional		$1,234.73	$1,234.73	$1,584.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $76.66 / $224.51	Professional		$54.76	$76.66	$224.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.37 / $240.00 / $319.88	Facility		$190.37	$240.00	$319.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $341.92	Professional		$146.27	$146.27	$341.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.05 / $202.55 / $247.57	Professional		$180.05	$202.55	$247.57
United Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $220.32 / $790.02	Professional		$150.74	$220.32	$790.02