Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Facility		$29.71	$29.71	$29.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $33.15 / $66.30	Professional		$28.87	$33.15	$66.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $47.46 / $106.38	Facility		$31.15	$47.46	$106.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $31.28 / $68.09	Professional		$26.71	$31.28	$68.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $28.15 / $46.92	Facility		$25.83	$28.15	$46.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $29.72 / $78.09	Professional		$29.72	$29.72	$78.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Professional		$29.33	$29.33	$29.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $35.65 / $67.33	Professional		$26.74	$35.65	$67.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $100.00 / $100.00	Facility		$35.26	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $42.49	Facility		$29.33	$29.33	$42.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $29.33 / $29.71	Professional		$29.33	$29.33	$29.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $32.69 / $50.51	Professional		$23.77	$32.69	$50.51
United Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $30.53 / $63.51	Professional		$28.75	$30.53	$63.51