Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $72.00 / $72.00	Facility		$63.61	$72.00	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $64.56 / $76.12	Professional		$43.18	$64.56	$76.12
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 $102.54 / $188.25 / $306.11	Professional		$102.54	$188.25	$306.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $70.33 / $171.44	Professional		$63.30	$70.33	$171.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Facility		$71.95	$71.95	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $300.91 / $333.09	Professional		$101.48	$300.91	$333.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $75.52 / $123.08	Professional		$59.78	$75.52	$123.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $292.17 / $342.62	Facility		$137.26	$292.17	$342.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $334.80 / $350.78 / $539.92	Professional		$334.80	$350.78	$539.92
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 $60.59 / $83.41 / $125.04	Facility		$60.59	$83.41	$125.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $84.96 / $116.69	Professional		$65.67	$84.96	$116.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $72.39 / $88.47	Professional		$64.34	$72.39	$88.47
United Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $69.29 / $156.18	Professional		$53.10	$69.29	$156.18