Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.06 / $50.29 / $279.02	Facility		$47.06	$50.29	$279.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $50.29 / $253.63	Professional		$42.60	$50.29	$253.63
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 $64.48 / $81.84 / $162.51	Professional		$64.48	$81.84	$162.51
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 $31.52 / $42.81 / $104.64	Professional		$31.52	$42.81	$104.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $66.09 / $200.05	Professional		$49.29	$66.09	$200.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $64.50 / $137.51	Professional		$46.78	$64.50	$137.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $109.43 / $1,300.00	Facility		$55.00	$109.43	$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 $47.74 / $64.98 / $103.24	Facility		$47.74	$64.98	$103.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $66.11 / $135.50	Professional		$49.61	$66.11	$135.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $57.18 / $57.18	Professional		$41.58	$57.18	$57.18
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 $39.76 / $57.64 / $158.34	Professional		$39.76	$57.64	$158.34