Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.03 / $264.80 / $628.26	Facility		$71.03	$264.80	$628.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $68.73 / $85.92	Professional		$48.84	$68.73	$85.92
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 $19.23 / $33.72 / $70.93	Professional		$19.23	$33.72	$70.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $100.00 / $209.19	Facility		$81.16	$100.00	$209.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $87.83 / $180.79	Professional		$61.48	$87.83	$180.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $81.28 / $230.04	Facility		$65.33	$81.28	$230.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $55.31 / $174.09	Professional		$44.69	$55.31	$174.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $91.39 / $153.69	Professional		$74.66	$91.39	$153.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $152.97 / $375.77 / $375.77	Facility		$152.97	$375.77	$375.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $440.48 / $440.48 / $606.45	Professional		$440.48	$440.48	$606.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $98.56 / $149.00	Facility		$67.42	$98.56	$149.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $139.28 / $174.09	Professional		$82.59	$139.28	$174.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $90.54 / $110.66	Professional		$80.48	$90.54	$110.66
United Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $83.46 / $83.46	Facility		$83.46	$83.46	$83.46
United Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $82.18 / $216.57	Professional		$58.83	$82.18	$216.57