Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $127.55 / $127.55	Facility		$114.92	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $152.06 / $433.32	Professional		$110.19	$152.06	$433.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.90 / $146.90 / $172.89	Facility		$122.90	$146.90	$172.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $143.32 / $245.08	Professional		$55.12	$143.32	$245.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $143.32	Facility		$75.70	$97.40	$143.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $136.15 / $336.56	Professional		$136.15	$136.15	$336.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $134.47 / $134.47	Professional		$61.30	$134.47	$134.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $188.00 / $433.00	Professional		$137.00	$188.00	$433.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $136.15 / $286.64 / $512.54	Facility		$136.15	$286.64	$512.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $134.47 / $182.40	Facility		$127.55	$134.47	$182.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $74.54 / $134.47	Professional		$59.27	$74.54	$134.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $151.19 / $197.73	Professional		$116.31	$151.19	$197.73
United Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $135.66 / $261.76	Professional		$132.07	$135.66	$261.76