Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $462.55 / $978.18	Facility		$180.00	$462.55	$978.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $180.00 / $245.64	Professional		$101.99	$180.00	$245.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $80.95 / $213.08	Facility		$66.92	$80.95	$213.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $238.79 / $401.87	Professional		$152.37	$238.79	$401.87
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 $70.61 / $100.87 / $194.76	Professional		$70.61	$100.87	$194.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $114.76 / $234.12	Professional		$88.25	$114.76	$234.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.65 / $507.98 / $526.49	Facility		$245.65	$507.98	$526.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $917.85 / $917.85 / $917.85	Professional		$917.85	$917.85	$917.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $78.59 / $190.85	Professional		$38.34	$78.59	$190.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.07 / $145.71 / $234.00	Facility		$106.07	$145.71	$234.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $232.91	Professional		$78.91	$78.91	$232.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $106.17 / $129.77	Professional		$94.38	$106.17	$129.77
United Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $201.87 / $551.79	Professional		$137.33	$201.87	$551.79