Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $116.81	Facility		$49.50	$49.50	$116.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $49.50 / $79.06	Professional		$36.85	$49.50	$79.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $79.06 / $177.24	Facility		$41.58	$79.06	$177.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $44.41 / $80.98	Professional		$36.61	$44.41	$80.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $44.28 / $66.69	Facility		$32.97	$44.28	$66.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $92.64	Professional		$36.85	$36.85	$92.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $59.40 / $112.18	Professional		$44.55	$59.40	$112.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $90.00 / $100.00	Facility		$39.97	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $62.80 / $104.20	Professional		$52.39	$62.80	$104.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $70.79	Facility		$48.76	$48.76	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $49.50	Professional		$48.76	$48.76	$49.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $54.44 / $84.14	Professional		$39.60	$54.44	$84.14
United Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $52.10 / $89.49	Professional		$49.20	$52.10	$89.49