Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $424.72 / $476.79	Facility		$213.84	$424.72	$476.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.97 / $364.84	Professional		$213.84	$215.97	$364.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $341.57 / $765.68	Facility		$219.25	$341.57	$765.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $213.84 / $598.52	Professional		$212.36	$213.84	$598.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $243.00	Facility		$77.00	$100.00	$243.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $217.88 / $217.88 / $540.34	Professional		$217.88	$217.88	$540.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $201.74 / $213.84	Facility		$201.74	$201.74	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.46 / $256.61 / $470.45	Professional		$192.46	$256.61	$470.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $279.22 / $1,049.55 / $1,069.20	Facility		$279.22	$1,049.55	$1,069.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $213.84 / $303.52	Facility		$201.74	$213.84	$303.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $462.54	Professional		$213.84	$213.84	$462.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.07 / $235.23 / $363.53	Professional		$171.07	$235.23	$363.53
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $440.72	Professional		$213.84	$213.84	$440.72