Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $15.17 / $15.17	Facility		$14.89	$15.17	$15.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $15.17 / $15.17	Professional		$14.89	$15.17	$15.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $16.51 / $21.41	Facility		$13.65	$16.51	$21.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $15.68 / $29.63	Professional		$14.87	$15.68	$29.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Facility		$16.64	$16.64	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $113.00 / $393.93	Professional		$78.00	$113.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $214.27	Facility		$100.00	$100.00	$214.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $21.69	Facility		$16.64	$16.64	$21.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $24.52 / $32.06	Professional		$18.86	$24.52	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $18.38 / $34.06	Professional		$17.30	$18.38	$34.06