Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $76.29 / $421.16	Facility		$71.59	$76.29	$421.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $76.29 / $381.67	Professional		$64.72	$76.29	$381.67
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 $78.55 / $118.20 / $239.38	Professional		$78.55	$118.20	$239.38
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 $47.82 / $65.15 / $158.99	Professional		$47.82	$65.15	$158.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $95.02 / $301.14	Professional		$73.94	$95.02	$301.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $97.73 / $179.35	Professional		$70.81	$97.73	$179.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $165.69 / $1,300.00	Facility		$55.00	$165.69	$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 $71.59 / $93.73 / $125.90	Facility		$71.59	$93.73	$125.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $95.93 / $204.99	Professional		$74.02	$95.93	$204.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $86.56 / $86.56	Professional		$62.95	$86.56	$86.56
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 $58.24 / $86.87 / $254.05	Professional		$58.24	$86.87	$254.05