Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $194.56 / $228.89	Facility		$86.35	$194.56	$228.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $86.35 / $147.05	Professional		$71.79	$86.35	$147.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $96.24 / $124.85	Facility		$79.59	$96.24	$124.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $88.43 / $187.47	Professional		$86.70	$88.43	$187.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $88.43 / $136.27	Facility		$74.50	$88.43	$136.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $93.64 / $232.23	Professional		$93.64	$93.64	$232.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
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 $111.83 / $437.90 / $437.90	Facility		$111.83	$437.90	$437.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $127.23	Facility		$88.43	$88.43	$127.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $88.43 / $192.47	Professional		$86.27	$88.43	$192.47
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $210.83	Professional		$86.70	$86.70	$210.83