Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $144.41 / $144.41	Facility		$144.41	$144.41	$144.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $144.41 / $147.90	Professional		$139.19	$144.41	$147.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $171.62 / $290.37	Facility		$144.13	$171.62	$290.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $147.90 / $350.52	Professional		$34.35	$147.90	$350.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $97.90 / $174.00	Facility		$76.20	$97.90	$174.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $144.41 / $320.61	Professional		$144.41	$144.41	$320.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.30 / $348.00 / $652.50	Facility		$165.30	$348.00	$652.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.20 / $661.20 / $783.00	Professional		$661.20	$661.20	$783.00
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 $144.41 / $174.00 / $174.00	Facility		$144.41	$174.00	$174.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $181.25	Professional		$147.90	$147.90	$181.25
United Facility/Professional Facility Modifier Low / Median / High Price $527.08 / $555.48 / $555.48	Facility		$527.08	$555.48	$555.48
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $275.33	Professional		$145.00	$145.00	$275.33