Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $658.20 / $738.90	Facility		$329.05	$658.20	$738.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $332.34 / $565.39	Professional		$329.05	$332.34	$565.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.33 / $525.59 / $1,178.20	Facility		$337.33	$525.59	$1,178.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.10 / $927.53	Professional		$329.05	$329.10	$927.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $381.58	Facility		$77.00	$100.00	$381.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $335.26 / $335.26 / $838.32	Professional		$335.26	$335.26	$838.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.43 / $310.43 / $329.05	Facility		$310.43	$310.43	$329.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $394.86 / $740.00	Professional		$296.14	$394.86	$740.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $424.13 / $1,594.25 / $1,645.25	Facility		$424.13	$1,594.25	$1,645.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.43 / $329.05 / $466.99	Facility		$310.43	$329.05	$466.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $711.74	Professional		$329.05	$329.05	$711.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.24 / $361.96 / $559.39	Professional		$263.24	$361.96	$559.39
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $700.81	Professional		$329.05	$329.05	$700.81