Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $101.37	Professional		$73.81	$73.81	$101.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $106.30 / $275.68	Facility		$77.26	$106.30	$275.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $86.24 / $162.26	Professional		$66.43	$86.24	$162.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $69.09 / $100.00	Facility		$62.90	$69.09	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $166.04	Professional		$73.81	$73.81	$166.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $88.58 / $167.29	Professional		$66.44	$88.58	$167.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $198.00 / $291.38	Facility		$80.09	$198.00	$291.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $105.56	Facility		$72.52	$72.52	$105.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $73.81	Professional		$72.52	$72.52	$73.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $81.20 / $125.49	Professional		$59.05	$81.20	$125.49
United Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $83.42 / $152.13	Professional		$77.70	$83.42	$152.13