Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $86.09 / $139.30	Professional		$63.86	$86.09	$139.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $56.00 / $273.49	Facility		$50.54	$56.00	$273.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $369.60 / $560.00	Professional		$55.50	$369.60	$560.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $152.27 / $152.27	Professional		$100.00	$152.27	$152.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $83.68 / $186.00	Professional		$83.68	$83.68	$186.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $112.20 / $216.38	Professional		$96.17	$112.20	$216.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.27 / $752.92 / $761.33	Facility		$269.27	$752.92	$761.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $112.20 / $160.28	Facility		$98.45	$112.20	$160.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $98.45	Professional		$83.68	$98.45	$98.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $128.22 / $156.52	Professional		$128.22	$128.22	$156.52
United Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $59.86 / $106.43	Facility		$6.65	$59.86	$106.43
United Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $79.81 / $160.28	Professional		$66.52	$79.81	$160.28