Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.36 / $347.36 / $347.36	Facility		$347.36	$347.36	$347.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $345.56 / $347.36	Professional		$123.48	$345.56	$347.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.26 / $282.13 / $745.94	Facility		$234.26	$282.13	$745.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $335.15 / $335.15	Professional		$309.42	$335.15	$335.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $755.35 / $1,113.41	Facility		$98.20	$755.35	$1,113.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $629.90 / $885.29 / $1,299.17	Professional		$629.90	$885.29	$1,299.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.41 / $409.07 / $506.84	Facility		$298.41	$409.07	$506.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $421.34	Professional		$347.71	$347.71	$421.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $502.00 / $638.07	Professional		$393.93	$502.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $660.65 / $1,467.61 / $1,467.61	Facility		$660.65	$1,467.61	$1,467.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.49 / $1,871.49 / $2,262.98	Professional		$1,871.49	$1,871.49	$2,262.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $339.41 / $532.44	Facility		$186.27	$339.41	$532.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $409.07	Professional		$347.71	$347.71	$409.07
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $230.65 / $444.63	Professional		$171.86	$230.65	$444.63