Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $55.81 / $93.98	Facility		$23.22	$55.81	$93.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $29.61 / $68.64	Professional		$22.50	$29.61	$68.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $37.07 / $83.11	Facility		$24.12	$37.07	$83.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $23.53 / $45.88	Professional		$18.98	$23.53	$45.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.77 / $34.04	Facility		$20.00	$20.77	$34.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $63.18	Professional		$23.22	$23.22	$63.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.18 / $23.19	Professional		$21.18	$21.18	$23.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $27.40 / $52.62	Professional		$20.90	$27.40	$52.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $100.00 / $100.00	Facility		$26.95	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $31.71 / $48.88	Professional		$20.77	$31.71	$48.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $33.20	Facility		$22.95	$22.95	$33.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $23.22	Professional		$22.95	$22.95	$23.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $25.54 / $39.47	Professional		$18.57	$25.54	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $25.04 / $45.66	Professional		$23.22	$25.04	$45.66