Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $60.26 / $151.36	Facility		$23.99	$60.26	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $28.18	Professional		$22.91	$23.99	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $27.54 / $66.07	Facility		$10.00	$27.54	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.72 / $30.90	Professional		$9.55	$10.72	$30.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $27.54 / $33.11	Facility		$24.55	$27.54	$33.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $51.29 / $72.44	Facility		$26.92	$51.29	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $33.88	Facility		$25.12	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $85.11 / $85.11	Professional		$33.88	$85.11	$85.11