Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.09 / $1,207.81 / $1,420.96	Facility		$536.09	$1,207.81	$1,420.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $536.09 / $912.96	Professional		$154.84	$536.09	$912.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.78 / $576.46 / $659.91	Facility		$470.78	$576.46	$659.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.43 / $549.01 / $1,312.13	Professional		$152.43	$549.01	$1,312.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $587.87 / $1,070.63	Facility		$97.00	$587.87	$1,070.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $618.98 / $618.98 / $1,535.07	Professional		$618.98	$618.98	$1,535.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
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 $645.89 / $794.72 / $823.70	Facility		$645.89	$794.72	$823.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.79 / $570.54 / $766.61	Facility		$559.79	$570.54	$766.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $570.54 / $592.07	Professional		$158.74	$570.54	$592.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $536.09 / $696.92 / $911.35	Professional		$536.09	$696.92	$911.35
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $1,251.22	Professional		$645.89	$645.89	$1,251.22