Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $291.08 / $370.92	Facility		$139.94	$291.08	$370.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $139.94 / $238.32	Professional		$116.33	$139.94	$238.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $155.96 / $192.49	Facility		$128.63	$155.96	$192.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $143.31 / $279.88	Professional		$140.50	$143.31	$279.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $202.32	Facility		$77.00	$100.00	$202.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $139.94 / $347.05	Professional		$139.94	$139.94	$347.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
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 $168.60 / $516.75 / $632.25	Facility		$168.60	$516.75	$632.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $200.11	Facility		$143.31	$143.31	$200.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $311.91	Professional		$143.31	$143.31	$311.91
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $289.57	Professional		$140.50	$140.50	$289.57