Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $75.15	Facility		$75.15	$75.15	$75.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $127.98	Professional		$75.15	$75.15	$127.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $120.02 / $269.05	Facility		$79.73	$120.02	$269.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $82.42 / $160.71	Professional		$70.19	$82.42	$160.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $73.53 / $100.00	Facility		$58.90	$73.53	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $82.18 / $198.69	Professional		$82.18	$82.18	$198.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $90.18 / $170.30	Professional		$67.64	$90.18	$170.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $164.84 / $300.14	Facility		$81.52	$164.84	$300.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.41 / $80.88 / $107.46	Facility		$74.41	$80.88	$107.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $80.88 / $80.88	Professional		$75.15	$80.88	$80.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $82.66 / $127.75	Professional		$60.12	$82.66	$127.75
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $86.51 / $157.12	Professional		$79.43	$86.51	$157.12