Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $22.07 / $38.47	Facility		$22.07	$22.07	$38.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $22.07 / $33.34	Professional		$21.22	$22.07	$33.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $35.25 / $79.02	Facility		$23.41	$35.25	$79.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $23.01 / $48.04	Professional		$9.60	$23.01	$48.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.75 / $29.73	Facility		$19.55	$19.75	$29.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $60.11	Professional		$22.07	$22.07	$60.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Facility		$21.82	$21.82	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Professional		$21.82	$21.82	$21.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $26.04 / $50.02	Professional		$19.86	$26.04	$50.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $100.00 / $100.00	Facility		$27.65	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $21.82 / $31.56	Facility		$18.00	$21.82	$31.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $22.07	Professional		$21.82	$21.82	$22.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $24.28 / $37.52	Professional		$17.66	$24.28	$37.52
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $23.66 / $46.50	Professional		$22.07	$23.66	$46.50