Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $280.86 / $327.06	Facility		$140.99	$280.86	$327.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $142.40 / $241.26	Professional		$140.99	$142.40	$241.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.56 / $225.20 / $504.83	Facility		$144.56	$225.20	$504.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $140.99 / $395.78	Professional		$140.43	$140.99	$395.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $182.95	Facility		$77.00	$100.00	$182.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $143.65 / $356.25	Professional		$143.65	$143.65	$356.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $133.01 / $140.99	Facility		$133.01	$133.01	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $169.19 / $319.51	Professional		$126.89	$169.19	$319.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.59 / $671.30 / $704.95	Facility		$178.59	$671.30	$704.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $140.99 / $200.21	Facility		$133.01	$140.99	$200.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $304.95	Professional		$140.99	$140.99	$304.95
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $149.44 / $291.79	Professional		$140.99	$149.44	$291.79