Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $331.13 / $851.14	Facility		$134.90	$331.13	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $169.82	Professional		$128.82	$134.90	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $263.03 / $380.19	Facility		$0.02	$263.03	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $524.81	Professional		$147.91	$251.19	$524.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $426.58	Professional		$141.25	$181.97	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.02	Professional		$1.00	$1.00	$3.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $371.54	Facility		$138.04	$194.98	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $281.84	Professional		$138.04	$138.04	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $691.83	Professional		$331.13	$331.13	$691.83