Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.15 / $824.95 / $970.53	Facility		$366.15	$824.95	$970.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $366.15 / $623.54	Professional		$304.39	$366.15	$623.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.48 / $408.07 / $529.39	Facility		$337.48	$408.07	$529.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $374.98 / $732.31	Professional		$12.92	$374.98	$732.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $95.50 / $419.09	Facility		$57.30	$95.50	$419.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $366.15 / $366.15 / $695.69	Professional		$366.15	$366.15	$695.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
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 $419.09 / $661.73 / $882.30	Facility		$419.09	$661.73	$882.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $523.59	Facility		$374.98	$374.98	$523.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $186.61 / $374.98	Professional		$7.42	$186.61	$374.98
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $750.41	Professional		$367.63	$367.63	$750.41