Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $302.00 / $12,302.69	Facility		$27.54	$302.00	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $4,786.30	Professional		$117.49	$190.55	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $724.44	Facility		$229.09	$288.40	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $302.00	Professional		$251.19	$302.00	$302.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $1,096.48	Professional		$416.87	$724.44	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Professional		$407.38	$407.38	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $776.25	Professional		$331.13	$407.38	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $1,949.84	Professional		$1,513.56	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $323.59 / $512.86	Facility		$162.18	$323.59	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $478.63	Professional		$407.38	$407.38	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $199.53 / $346.74	Facility		$25.12	$199.53	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $398.11	Professional		$134.90	$229.09	$398.11