Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $283.20 / $644.28	Facility		$117.53	$283.20	$644.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $117.53 / $200.15	Professional		$97.70	$117.53	$200.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.69 / $154.91 / $347.00	Facility		$119.69	$154.91	$347.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $120.36 / $242.14	Professional		$118.00	$120.36	$242.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $188.35	Facility		$77.09	$100.00	$188.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $117.53 / $291.47	Professional		$117.53	$117.53	$291.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
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 $139.50 / $521.65 / $531.00	Facility		$139.50	$521.65	$531.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $168.07	Facility		$120.36	$120.36	$168.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $153.40 / $200.60	Professional		$118.00	$153.40	$200.60
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $251.32	Professional		$118.00	$118.00	$251.32