Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.47 / $397.58 / $467.74	Facility		$176.47	$397.58	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $176.47 / $300.52	Professional		$146.69	$176.47	$300.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $191.73 / $217.23	Facility		$179.71	$191.73	$217.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $428.31	Professional		$180.72	$180.72	$428.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $143.27 / $255.83	Facility		$98.20	$143.27	$255.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $183.70 / $455.58	Professional		$183.70	$183.70	$455.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $150.00 / $393.93	Professional		$94.00	$150.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $212.61 / $212.61	Facility		$180.71	$212.61	$212.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.29 / $252.35 / $417.66	Facility		$185.29	$252.35	$417.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.33 / $393.33 / $425.22	Professional		$393.33	$393.33	$425.22
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $371.60	Professional		$180.30	$180.30	$371.60