Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $445.44 / $14,266.10	Facility		$90.24	$445.44	$14,266.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $100.33 / $7,430.32	Professional		$89.34	$100.33	$7,430.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $142.69 / $319.89	Facility		$68.31	$142.69	$319.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $89.34 / $577.62	Professional		$58.40	$89.34	$577.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $98.70 / $641.79	Facility		$64.40	$98.70	$641.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $223.39	Professional		$89.34	$89.34	$223.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $84.29 / $89.34	Facility		$84.29	$84.29	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $107.21 / $205.48	Professional		$80.41	$107.21	$205.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $641.79 / $641.79 / $641.79	Facility		$641.79	$641.79	$641.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $126.73	Facility		$84.29	$89.34	$126.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $193.24	Professional		$89.34	$89.34	$193.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $98.28 / $151.88	Professional		$71.48	$98.28	$151.88
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $220.29	Professional		$89.34	$94.70	$220.29