Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $303.88 / $357.50	Facility		$134.88	$303.88	$357.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $134.88 / $229.70	Professional		$112.13	$134.88	$229.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.68 / $261.64 / $299.52	Facility		$213.68	$261.64	$299.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $249.19 / $590.58	Professional		$134.16	$249.19	$590.58
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 $140.40 / $140.40 / $348.19	Professional		$140.40	$140.40	$348.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $393.93	Professional		$1.00	$1.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.41 / $582.30 / $603.58	Facility		$211.41	$582.30	$603.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $192.88	Facility		$137.80	$137.80	$192.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $137.80 / $274.85	Professional		$116.32	$137.80	$274.85
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $674.71	Professional		$332.96	$332.96	$674.71