Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.01 / $84.28 / $463.54	Facility		$79.01	$84.28	$463.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $84.28 / $420.26	Professional		$71.45	$84.28	$420.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $130.13 / $270.23	Professional		$84.43	$130.13	$270.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $71.89 / $175.52	Professional		$52.82	$71.89	$175.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $104.34 / $332.99	Professional		$81.16	$104.34	$332.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $107.68 / $229.65	Professional		$78.13	$107.68	$229.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $182.67 / $1,300.00	Facility		$55.00	$182.67	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $660.00	Professional		$660.00	$660.00	$660.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $100.07 / $138.90	Facility		$78.76	$100.07	$138.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $104.35 / $226.05	Professional		$81.16	$104.35	$226.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $95.49 / $95.49	Professional		$69.45	$95.49	$95.49
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $94.86 / $266.20	Professional		$64.12	$94.86	$266.20