Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.51 / $66.56 / $102.50	Facility		$49.51	$66.56	$102.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $84.11 / $211.20	Professional		$64.70	$84.11	$211.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.13 / $76.66 / $90.46	Facility		$64.13	$76.66	$90.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $74.79 / $127.89	Professional		$57.98	$74.79	$127.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $63.57 / $100.00	Facility		$61.33	$63.57	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $71.05 / $175.64	Professional		$71.05	$71.05	$175.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Facility		$70.36	$70.36	$70.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $103.00 / $393.93	Professional		$73.00	$103.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $149.58 / $272.63	Facility		$80.00	$149.58	$272.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $153.76 / $153.76	Professional		$153.76	$153.76	$153.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $95.18	Facility		$70.36	$70.36	$95.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
United Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $76.44 / $130.93	Professional		$68.26	$76.44	$130.93