Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $407.38 / $537.03	Facility		$295.12	$407.38	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $446.68	Professional		$194.98	$199.53	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $234.42 / $512.86	Facility		$204.17	$234.42	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $549.54	Professional		$194.98	$199.53	$549.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $416.87	Facility		$85.11	$100.00	$416.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $524.81	Professional		$194.98	$257.04	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $426.58	Professional		$177.83	$218.78	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $302.00 / $489.78	Facility		$199.53	$302.00	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Professional		$199.53	$199.53	$204.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $338.84	Professional		$158.49	$218.78	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $436.52	Professional		$194.98	$194.98	$436.52