Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $67.16	Facility		$67.16	$67.16	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $67.16 / $87.30	Professional		$45.99	$67.16	$87.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.75 / $80.98 / $95.17	Facility		$67.75	$80.98	$95.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $79.01 / $135.11	Professional		$14.87	$79.01	$135.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $67.16 / $100.00	Facility		$62.00	$67.16	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $186.15	Professional		$75.06	$75.06	$186.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Facility		$74.02	$74.02	$74.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $75.00 / $393.93	Professional		$52.00	$75.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $158.02 / $296.29	Facility		$75.06	$158.02	$296.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $74.02 / $96.04	Facility		$23.88	$74.02	$96.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $74.02 / $74.02	Professional		$18.38	$74.02	$74.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $83.97 / $109.80	Professional		$64.59	$83.97	$109.80
United Facility/Professional Facility Modifier Low / Median / High Price $202.34 / $213.25 / $213.25	Facility		$202.34	$213.25	$213.25
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $79.01 / $146.96	Professional		$66.09	$79.01	$146.96