Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Facility		$23.99	$23.99	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Professional		$23.99	$23.99	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $30.90 / $44.67	Facility		$0.02	$30.90	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $112.20	Professional		$29.51	$29.51	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.18 / $35.48	Facility		$25.12	$28.18	$35.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $83.18	Professional		$28.18	$36.31	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $398.11	Professional		$61.66	$104.71	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $36.31	Facility		$26.30	$35.48	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $35.48	Professional		$25.70	$28.18	$35.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $39.81	Professional		$23.44	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $60.26	Professional		$29.51	$33.11	$60.26