Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.54 / $330.15 / $388.41	Facility		$146.54	$330.15	$388.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $146.54 / $249.56	Professional		$121.82	$146.54	$249.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $157.19 / $179.95	Facility		$128.38	$157.19	$179.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $149.71 / $354.81	Professional		$149.71	$149.71	$354.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $77.20 / $77.20	Facility		$77.20	$77.20	$77.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $152.54 / $378.30	Professional		$152.54	$152.54	$378.30
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 $169.49 / $169.49 / $169.49	Facility		$169.49	$169.49	$169.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.87 / $209.55 / $336.75	Facility		$153.87	$209.55	$336.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.62 / $326.62 / $353.10	Professional		$326.62	$326.62	$353.10
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $321.94	Professional		$136.80	$136.80	$321.94