Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $55.77	Professional		$42.90	$42.90	$55.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $52.99 / $60.66	Facility		$43.28	$52.99	$60.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.47 / $92.36	Professional		$50.00	$50.47	$92.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $72.68	Facility		$42.90	$42.90	$72.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $47.95 / $118.92	Professional		$47.95	$47.95	$118.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $99.00 / $393.93	Professional		$68.00	$99.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $216.50 / $262.33	Facility		$96.07	$216.50	$262.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $65.66	Facility		$47.11	$47.11	$65.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $55.23	Professional		$47.11	$47.11	$55.23
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $57.03 / $102.68	Professional		$50.47	$57.03	$102.68