Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Facility		$67.61	$67.61	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $81.28	Professional		$67.61	$67.61	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $83.18 / $120.23	Facility		$0.02	$83.18	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $79.43 / $131.83	Professional		$25.12	$79.43	$131.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $75.86 / $89.13	Facility		$67.61	$75.86	$89.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $218.78	Professional		$75.86	$97.72	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $398.11	Professional		$52.48	$87.10	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $95.50 / $186.21	Facility		$20.42	$95.50	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $109.65	Professional		$64.57	$83.18	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $158.49	Professional		$66.07	$79.43	$158.49