Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $106.96 / $117.66	Facility		$44.39	$106.96	$117.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $44.39 / $53.27	Professional		$36.90	$44.39	$53.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $47.28 / $64.18	Facility		$31.88	$47.28	$64.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $33.79 / $62.16	Professional		$31.88	$33.79	$62.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $83.30 / $102.53	Facility		$26.29	$83.30	$102.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Facility		$45.46	$45.46	$45.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46
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 / $236.20 / $236.20	Facility		$80.00	$236.20	$236.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $63.48	Facility		$45.46	$45.46	$63.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $57.94 / $75.77	Professional		$44.57	$57.94	$75.77
United Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $154.74 / $154.74	Professional		$99.96	$154.74	$154.74