Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.46 / $1,145.56 / $1,347.72	Facility		$508.46	$1,145.56	$1,347.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.69 / $508.46 / $865.91	Professional		$422.69	$508.46	$865.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.59 / $862.40 / $1,933.20	Facility		$541.59	$862.40	$1,933.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $520.71 / $1,016.92	Professional		$510.50	$520.71	$1,016.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $98.10 / $612.60	Facility		$76.20	$98.10	$612.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $508.46 / $508.46 / $1,260.98	Professional		$508.46	$508.46	$1,260.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $837.00 / $1,206.00	Professional		$393.93	$837.00	$1,206.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,705.65 / $2,705.65	Facility		$600.00	$2,705.65	$2,705.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $727.10	Facility		$520.71	$520.71	$727.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $663.65 / $867.85	Professional		$510.50	$663.65	$867.85
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $1,087.26	Professional		$510.50	$510.50	$1,087.26