Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $75.84 / $75.84	Facility		$74.45	$75.84	$75.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $75.84 / $75.84	Professional		$54.00	$75.84	$75.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.27 / $82.55 / $107.09	Facility		$68.27	$82.55	$107.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $90.96 / $152.60	Professional		$74.37	$90.96	$152.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Facility		$83.29	$83.29	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $257.00 / $491.00	Professional		$176.00	$257.00	$491.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $175.12 / $238.24	Facility		$83.18	$175.12	$238.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $108.47	Facility		$83.29	$83.29	$108.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
United Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $89.24 / $182.95	Professional		$81.81	$89.24	$182.95