Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $242.02 / $284.72	Facility		$107.42	$242.02	$284.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $107.42 / $182.94	Professional		$89.30	$107.42	$182.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $116.71 / $132.22	Facility		$109.39	$116.71	$132.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $110.01 / $233.22	Professional		$103.21	$110.01	$233.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $77.20 / $77.20	Facility		$77.20	$77.20	$77.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $113.95 / $282.60	Professional		$113.95	$113.95	$282.60
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 $195.36 / $3,450.15 / $3,450.15	Facility		$195.36	$3,450.15	$3,450.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $153.61 / $275.35	Facility		$112.79	$153.61	$275.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.48 / $232.48 / $253.96	Professional		$107.48	$232.48	$253.96
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $263.91	Professional		$129.41	$129.41	$263.91