Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $158.12	Professional		$125.50	$125.50	$158.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $155.03 / $177.48	Facility		$126.61	$155.03	$177.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $147.65 / $270.19	Professional		$84.45	$147.65	$270.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $170.56 / $304.56	Facility		$98.20	$170.56	$304.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $119.35 / $119.35 / $119.35	Professional		$119.35	$119.35	$119.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $276.00 / $527.00	Professional		$189.00	$276.00	$527.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $167.50 / $532.45 / $532.45	Facility		$167.50	$532.45	$532.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.01 / $137.94 / $179.47	Facility		$118.01	$137.94	$179.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $137.94 / $137.94	Professional		$90.86	$137.94	$137.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $159.15 / $208.11	Professional		$122.42	$159.15	$208.11
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $166.84 / $301.08	Professional		$147.65	$166.84	$301.08