Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.76 / $263.07 / $309.50	Facility		$116.76	$263.07	$309.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $116.76 / $196.51	Professional		$97.07	$116.76	$196.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.41 / $192.25 / $430.96	Facility		$123.41	$192.25	$430.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $119.58 / $233.53	Professional		$117.24	$119.58	$233.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $98.70 / $139.02	Facility		$75.90	$98.70	$139.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $288.63	Professional		$116.76	$116.76	$288.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
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 $132.07 / $498.86 / $601.79	Facility		$132.07	$498.86	$601.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $166.97	Facility		$119.58	$119.58	$166.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $152.41 / $199.31	Professional		$117.24	$152.41	$199.31
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $249.70	Professional		$117.24	$117.24	$249.70