Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,348.96	Facility		$741.31	$1,023.29	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,230.27	Professional		$489.78	$489.78	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $1,288.25	Facility		$512.86	$602.56	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $1,412.54	Professional		$501.19	$512.86	$1,412.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $407.38 / $1,148.15	Facility		$85.11	$407.38	$1,148.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,513.56	Professional		$501.19	$645.65	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $489.78	Facility		$467.74	$467.74	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $1,096.48	Professional		$436.52	$512.86	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,258.93	Facility		$501.19	$758.58	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $616.60	Professional		$501.19	$501.19	$616.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $851.14	Professional		$398.11	$549.54	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,148.15	Professional		$489.78	$489.78	$1,148.15