Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.94 / $173.00 / $173.00	Facility		$143.94	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.40 / $176.31 / $466.16	Facility		$146.40	$176.31	$466.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $203.52 / $203.52	Professional		$135.10	$203.52	$203.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $484.20 / $680.52 / $998.67	Professional		$484.20	$680.52	$998.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $161.19 / $161.19	Facility		$100.00	$161.19	$161.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $263.02	Facility		$173.00	$173.00	$263.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02