Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $41.81 / $93.00	Facility		$41.81	$41.81	$93.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $33.64 / $41.81	Professional		$20.04	$33.64	$41.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $10.00 / $120.15	Professional		$5.00	$10.00	$120.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $87.27 / $129.13	Facility		$46.19	$87.27	$129.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.83 / $20.93	Professional		$7.58	$10.83	$20.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $32.07 / $32.07	Facility		$32.07	$32.07	$32.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $34.19 / $154.13	Professional		$17.05	$34.19	$154.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $10.91 / $18.97	Professional		$8.93	$10.91	$18.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $85.00 / $174.71	Facility		$72.50	$85.00	$174.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $225.06 / $225.06 / $225.06	Professional		$225.06	$225.06	$225.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $13.01 / $41.81	Facility		$9.83	$13.01	$41.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $12.98 / $19.00	Professional		$9.92	$12.98	$19.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $11.20 / $13.68	Professional		$9.94	$11.20	$13.68
United Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $22.27 / $37.64	Professional		$15.72	$22.27	$37.64