Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $263.03 / $660.69	Facility		$208.93	$263.03	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $275.42	Professional		$269.15	$269.15	$275.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,047.13	Professional		$398.11	$707.95	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $229.09	Facility		$223.87	$223.87	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $831.76	Professional		$141.25	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $234.42	Facility		$141.25	$141.25	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $154.88 / $177.83	Facility		$28.18	$154.88	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $331.13	Professional		$141.25	$169.82	$331.13