Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $49.50 / $1,549.31	Facility		$19.94	$49.50	$1,549.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $19.94 / $19.94	Professional		$16.57	$19.94	$19.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $31.91 / $71.54	Facility		$16.38	$31.91	$71.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $16.19 / $29.41	Professional		$15.28	$16.19	$29.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $21.15 / $36.04	Facility		$20.43	$21.15	$36.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Facility		$20.43	$20.43	$20.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $93.55 / $99.90	Facility		$80.00	$93.55	$99.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $20.43 / $28.51	Facility		$20.43	$20.43	$28.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $33.26	Professional		$20.43	$20.43	$33.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $26.03 / $34.03	Professional		$20.02	$26.03	$34.03
United Facility/Professional Facility Modifier Low / Median / High Price $46.37 / $48.88 / $48.88	Facility		$46.37	$48.88	$48.88
United Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $58.26 / $58.26	Professional		$48.88	$58.26	$58.26