Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.53 / $411.25 / $483.82	Facility		$182.53	$411.25	$483.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $182.53 / $310.85	Professional		$151.74	$182.53	$310.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $17.35 / $220.26	Facility		$8.23	$17.35	$220.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $186.93 / $365.07	Professional		$11.88	$186.93	$365.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $95.60 / $219.92	Facility		$61.30	$95.60	$219.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $182.53 / $452.67	Professional		$182.53	$182.53	$452.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
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 $219.92 / $571.20 / $824.70	Facility		$219.92	$571.20	$824.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $186.93 / $261.02	Facility		$16.80	$186.93	$261.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $186.93 / $186.93	Professional		$12.37	$186.93	$186.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $238.24 / $311.54	Professional		$183.26	$238.24	$311.54
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $374.07	Professional		$183.26	$183.26	$374.07