Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $173.88 / $195.20	Facility		$87.28	$173.88	$195.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $88.16 / $149.36	Professional		$87.28	$88.16	$149.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $139.41 / $328.86	Facility		$90.68	$139.41	$328.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $87.28 / $205.05	Professional		$86.94	$87.28	$205.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $89.60 / $143.08	Facility		$75.70	$89.60	$143.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $219.83	Professional		$88.93	$88.93	$219.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $82.34 / $87.28	Facility		$82.34	$82.34	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $104.74 / $192.02	Professional		$78.55	$104.74	$192.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $393.25 / $436.40	Facility		$112.80	$393.25	$436.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $87.28 / $123.98	Facility		$82.34	$87.28	$123.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $188.79	Professional		$87.28	$87.28	$188.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $96.01 / $148.38	Professional		$69.83	$96.01	$148.38
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $201.04	Professional		$87.28	$87.28	$201.04