Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $280.50 / $330.00	Facility		$124.50	$280.50	$330.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $124.50 / $212.02	Professional		$103.50	$124.50	$212.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $209.85 / $465.53	Facility		$127.50	$209.85	$465.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $127.50 / $256.50	Professional		$125.00	$127.50	$256.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $98.10 / $172.50	Facility		$76.20	$98.10	$172.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $124.50 / $311.31	Professional		$124.50	$124.50	$311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
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 $330.00 / $1,457.50 / $1,457.50	Facility		$330.00	$1,457.50	$1,457.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $178.04	Facility		$127.50	$127.50	$178.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $162.50 / $212.50	Professional		$125.00	$162.50	$212.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $266.23	Professional		$125.00	$125.00	$266.23