Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.74 / $778.97 / $916.43	Facility		$345.74	$778.97	$916.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.43 / $345.74 / $588.79	Professional		$287.43	$345.74	$588.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.31 / $618.16 / $1,386.44	Facility		$369.31	$618.16	$1,386.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $354.08 / $787.92	Professional		$162.28	$354.08	$787.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $499.87	Facility		$77.00	$100.00	$499.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $374.90 / $374.90 / $929.75	Professional		$374.90	$374.90	$929.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Facility		$367.96	$367.96	$367.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
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 $406.40 / $7,359.25 / $7,359.25	Facility		$406.40	$7,359.25	$7,359.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.32 / $367.96 / $494.41	Facility		$366.32	$367.96	$494.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $367.96 / $399.31	Professional		$169.00	$367.96	$399.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $478.35 / $625.53	Professional		$367.96	$478.35	$625.53
United Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $357.54 / $756.56	Professional		$357.54	$357.54	$756.56