Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $65.45 / $260.95	Facility		$47.64	$65.45	$260.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $58.12 / $147.19	Professional		$43.27	$58.12	$147.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $54.87 / $64.41	Facility		$45.90	$54.87	$64.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $53.53 / $96.35	Professional		$31.88	$53.53	$96.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $45.50 / $70.03	Facility		$45.50	$45.50	$70.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $50.85 / $125.70	Professional		$50.85	$50.85	$125.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $393.93	Professional		$51.00	$51.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $107.06 / $191.33	Facility		$50.85	$107.06	$191.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.31 / $50.10 / $68.13	Facility		$35.31	$50.10	$68.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $50.10 / $50.10	Professional		$25.81	$50.10	$50.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $57.17 / $74.77	Professional		$43.98	$57.17	$74.77
United Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $131.09 / $131.09	Facility		$124.39	$131.09	$131.09
United Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $53.53 / $103.80	Professional		$47.93	$53.53	$103.80