Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $988.86 / $2,416.80	Facility		$495.55	$988.86	$2,416.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $500.50 / $146,775.00	Professional		$495.55	$500.50	$146,775.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.79 / $791.54 / $1,774.37	Facility		$506.79	$791.54	$1,774.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.43 / $495.55 / $1,226.40	Professional		$494.43	$495.55	$1,226.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $701.93	Facility		$77.20	$100.00	$701.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $504.89 / $504.89 / $1,252.13	Professional		$504.89	$504.89	$1,252.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $467.50 / $495.55	Facility		$467.50	$467.50	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.00 / $584.75 / $1,090.21	Professional		$446.00	$584.75	$1,090.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $644.34 / $2,422.00 / $2,477.75	Facility		$644.34	$2,422.00	$2,477.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $495.55 / $703.48	Facility		$467.50	$495.55	$703.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $1,071.86	Professional		$495.55	$495.55	$1,071.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $396.44 / $545.10 / $842.43	Professional		$396.44	$545.10	$842.43
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $1,021.33	Professional		$495.55	$495.55	$1,021.33