Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $346.74 / $575.44	Facility		$100.00	$346.74	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $81.28	Professional		$47.86	$67.61	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.88 / $123.03	Professional		$19.50	$33.88	$123.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $181.97	Facility		$81.28	$138.04	$181.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $173.78	Professional		$85.11	$114.82	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $229.09	Facility		$66.07	$93.33	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $354.81	Professional		$44.67	$56.23	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $154.88	Professional		$74.13	$91.20	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $602.56	Professional		$436.52	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $144.54	Facility		$56.23	$87.10	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $354.81	Professional		$81.28	$154.88	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $109.65	Professional		$81.28	$85.11	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $338.84	Facility		$208.93	$218.78	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $151.36	Professional		$57.54	$74.13	$151.36