Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $1,048.04 / $1,176.53	Facility		$529.26	$1,048.04	$1,176.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $534.54 / $900.27	Professional		$529.25	$534.54	$900.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.65 / $845.39 / $1,895.07	Facility		$542.65	$845.39	$1,895.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $529.26 / $1,639.44	Professional		$524.02	$529.26	$1,639.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $1,713.20	Facility		$77.20	$100.00	$1,713.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $1,323.41	Professional		$529.26	$529.26	$1,323.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $499.30 / $529.26	Facility		$499.30	$499.30	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.33 / $635.11 / $1,199.41	Professional		$476.33	$635.11	$1,199.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.59 / $6,095.00 / $6,095.00	Facility		$1,197.59	$6,095.00	$6,095.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $529.26 / $751.24	Facility		$499.30	$529.26	$751.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $1,144.79	Professional		$529.26	$529.26	$1,144.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $423.41 / $582.17 / $899.74	Professional		$423.41	$582.17	$899.74
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $1,127.22	Professional		$529.26	$529.26	$1,127.22