Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.51 / $609.47 / $717.02	Facility		$270.51	$609.47	$717.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.88 / $270.51 / $460.68	Professional		$224.88	$270.51	$460.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $447.13 / $1,002.32	Facility		$283.95	$447.13	$1,002.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $277.02 / $541.03	Professional		$271.60	$277.02	$541.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $98.10 / $325.92	Facility		$76.20	$98.10	$325.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $270.51 / $270.51 / $668.70	Professional		$270.51	$270.51	$668.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $360.00 / $491.00	Professional		$225.00	$360.00	$491.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.62 / $1,186.65 / $1,399.65	Facility		$309.62	$1,186.65	$1,399.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $386.83	Facility		$277.02	$277.02	$386.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $353.08 / $461.72	Professional		$271.60	$353.08	$461.72
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $594.32	Professional		$271.60	$271.60	$594.32