Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $338.84 / $794.33	Facility		$141.25	$338.84	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $169.82	Professional		$134.90	$138.04	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $218.78	Facility		$147.91	$173.78	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $144.54 / $281.84	Professional		$141.25	$144.54	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $208.93	Facility		$85.11	$100.00	$208.93
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 $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $199.53 / $389.05	Facility		$144.54	$199.53	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $338.84	Professional		$141.25	$141.25	$338.84