Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $119.61 / $119.61	Facility		$108.80	$119.61	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $119.61 / $155.49	Professional		$88.00	$119.61	$155.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.67 / $144.24 / $168.88	Facility		$120.67	$144.24	$168.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $140.72 / $240.63	Professional		$10.55	$140.72	$240.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $128.00	Facility		$75.70	$97.40	$128.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $133.68 / $313.27	Professional		$133.68	$133.68	$313.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $127.00 / $393.93	Professional		$87.00	$127.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $256.00 / $480.00	Facility		$121.60	$256.00	$480.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $131.35 / $171.04	Facility		$63.17	$131.35	$171.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $131.35 / $131.35	Professional		$34.65	$131.35	$131.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $145.57 / $190.37	Professional		$111.98	$145.57	$190.37
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $140.74 / $272.91	Professional		$117.28	$140.74	$272.91