Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $24.73 / $24.73	Facility		$21.41	$24.73	$24.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $21.41 / $26.45	Professional		$16.03	$21.41	$26.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $29.51 / $77.72	Facility		$24.41	$29.51	$77.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $30.14 / $58.74	Professional		$18.10	$30.14	$58.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $38.01 / $93.40	Professional		$32.85	$38.01	$93.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $26.78 / $35.74	Professional		$19.32	$26.78	$35.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $48.00 / $393.93	Professional		$37.00	$48.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $100.00 / $114.62	Facility		$45.84	$100.00	$114.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $32.86 / $51.38	Facility		$28.32	$32.86	$51.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $24.13 / $48.74	Professional		$22.14	$24.13	$48.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $27.65 / $63.36	Professional		$14.84	$27.65	$63.36