Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $43.34 / $1,166.20	Facility		$40.61	$43.34	$1,166.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $43.34 / $218.77	Professional		$36.75	$43.34	$218.77
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 $54.27 / $69.54 / $135.83	Professional		$54.27	$69.54	$135.83
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 $27.16 / $36.95 / $100.00	Professional		$27.16	$36.95	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $56.06 / $170.06	Professional		$42.28	$56.06	$170.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $55.33 / $118.01	Professional		$40.17	$55.33	$118.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $93.81 / $1,300.00	Facility		$55.00	$93.81	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $887.00 / $1,017.00 / $1,017.00	Professional		$887.00	$1,017.00	$1,017.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $55.68 / $86.40	Facility		$40.70	$55.68	$86.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $56.06 / $121.76	Professional		$42.83	$56.06	$121.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $49.09 / $49.09	Professional		$35.70	$49.09	$49.09
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 $33.60 / $48.78 / $138.84	Professional		$33.60	$48.78	$138.84