Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $9,639.00 / $19,011.00	Facility		$53.69	$9,639.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $52.21 / $61.83	Professional		$35.90	$52.21	$61.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $57.18 / $85.78	Professional		$47.65	$57.18	$85.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $97.90 / $1,514.82	Facility		$60.60	$97.90	$1,514.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $59.53 / $113.62	Professional		$41.67	$59.53	$113.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $59.23 / $141.82	Facility		$43.60	$59.23	$141.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $45.87 / $251.03	Professional		$42.78	$45.87	$251.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $61.16 / $106.20	Professional		$50.04	$61.16	$106.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $130.13 / $146.22 / $279.02	Facility		$130.13	$146.22	$279.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.72 / $407.36 / $450.30	Professional		$398.72	$407.36	$450.30
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 $49.50 / $66.34 / $84.01	Facility		$49.50	$66.34	$84.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $55.92 / $93.54	Professional		$44.31	$55.92	$93.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $62.10 / $75.90	Professional		$55.20	$62.10	$75.90
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $57.52 / $120.28	Professional		$42.00	$57.52	$120.28