Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $264.08 / $306.99	Facility		$131.16	$264.08	$306.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $132.47 / $2,056.54	Professional		$131.15	$132.47	$2,056.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.34 / $209.50 / $469.63	Facility		$135.34	$209.50	$469.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $158.44 / $360.28	Professional		$131.16	$158.44	$360.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $392.50	Facility		$77.00	$100.00	$392.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $133.63 / $334.14	Professional		$133.63	$133.63	$334.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $131.16	Facility		$123.73	$123.73	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $157.38 / $297.23	Professional		$118.04	$157.38	$297.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $655.80 / $671.25	Facility		$392.50	$655.80	$671.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $131.16 / $185.98	Facility		$123.73	$131.16	$185.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.93 / $144.27 / $222.97	Professional		$104.93	$144.27	$222.97
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $139.03 / $288.83	Professional		$131.16	$139.03	$288.83