Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $427.04	Facility		$150.00	$150.00	$427.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $150.00 / $165.00	Professional		$102.52	$150.00	$165.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $60.72 / $159.82	Facility		$50.19	$60.72	$159.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $187.55 / $300.00	Professional		$121.42	$187.55	$300.00
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 $21.00 / $30.00 / $75.42	Professional		$21.00	$30.00	$75.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Professional		$88.53	$88.53	$88.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $112.63 / $327.00	Professional		$86.17	$112.63	$327.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.77 / $656.69 / $680.63	Facility		$219.77	$656.69	$680.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $858.36 / $858.36 / $967.43	Professional		$858.36	$858.36	$967.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $67.36 / $157.17	Professional		$32.86	$67.36	$157.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $146.11 / $195.63	Facility		$110.51	$146.11	$195.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $214.23	Professional		$88.53	$88.53	$214.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $104.50 / $127.72	Professional		$92.89	$104.50	$127.72
United Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $182.61 / $503.75	Professional		$120.24	$182.61	$503.75