Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.22 / $437.58 / $514.79	Facility		$194.22	$437.58	$514.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $194.22 / $333.67	Professional		$161.46	$194.22	$333.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.45 / $347.26 / $778.82	Facility		$207.45	$347.26	$778.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $475.37	Professional		$198.90	$198.90	$475.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $100.00 / $257.39	Facility		$76.20	$100.00	$257.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $210.60 / $522.29	Professional		$210.60	$210.60	$522.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $744.30 / $744.30	Facility		$234.00	$744.30	$744.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $277.73	Facility		$206.70	$206.70	$277.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $382.40	Professional		$206.70	$206.70	$382.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $268.63 / $351.29	Professional		$206.64	$268.63	$351.29
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $474.18	Professional		$234.00	$234.00	$474.18