Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $40.72 / $137.55	Facility		$27.06	$40.72	$137.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $51.74 / $132.88	Professional		$39.54	$51.74	$132.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $47.62 / $56.35	Facility		$39.90	$47.62	$56.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $46.46 / $85.02	Professional		$34.08	$46.46	$85.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.49 / $39.78 / $58.70	Facility		$39.49	$39.78	$58.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $44.46 / $109.91	Professional		$44.46	$44.46	$109.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Facility		$43.83	$43.83	$43.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Professional		$43.83	$43.83	$43.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $63.00 / $393.93	Professional		$46.00	$63.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.14 / $100.00 / $169.24	Facility		$44.14	$100.00	$169.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $55.04 / $89.60	Professional		$39.53	$55.04	$89.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $43.83 / $58.23	Facility		$42.76	$43.83	$58.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $43.83 / $43.83	Professional		$30.41	$43.83	$43.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $49.76 / $65.08	Professional		$38.28	$49.76	$65.08
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $44.70 / $80.75	Professional		$39.56	$44.70	$80.75