Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $209.55 / $397.56	Facility		$55.54	$209.55	$397.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $55.54 / $69.98	Professional		$50.49	$55.54	$69.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $58.02 / $262.58	Facility		$47.96	$58.02	$262.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $13.98 / $16.93	Professional		$13.98	$13.98	$16.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $57.09 / $101.20	Facility		$37.97	$57.09	$101.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $60.17 / $98.88	Professional		$46.37	$60.17	$98.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.95 / $58.40 / $178.65	Facility		$46.95	$58.40	$178.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $79.42 / $153.29	Facility		$49.21	$79.42	$153.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00