Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Facility		$24.95	$24.95	$24.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $30.82 / $35.28	Facility		$25.17	$30.82	$35.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $29.35 / $114.24	Professional		$27.00	$29.35	$114.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $42.27	Facility		$24.95	$24.95	$42.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $27.88 / $70.09	Professional		$27.88	$27.88	$70.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $90.00 / $393.93	Professional		$62.00	$90.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $102.96 / $124.74	Facility		$45.68	$102.96	$124.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $35.68	Facility		$27.68	$27.68	$35.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $27.68 / $27.68	Professional		$24.04	$27.68	$27.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $30.17 / $39.46	Professional		$23.21	$30.17	$39.46
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $33.17 / $60.33	Professional		$29.35	$33.17	$60.33