Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $105.42 / $154.93	Facility		$12.37	$105.42	$154.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $32.40 / $51.31	Professional		$10.10	$32.40	$51.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $31.46 / $82.86	Facility		$26.02	$31.46	$82.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $27.18 / $44.25	Professional		$14.00	$27.18	$44.25
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 $10.47 / $12.89 / $30.38	Professional		$10.47	$12.89	$30.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $41.57 / $81.36	Professional		$31.71	$41.57	$81.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $180.62 / $182.69	Facility		$62.79	$180.62	$182.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $53.61 / $69.52	Professional		$46.42	$53.61	$69.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $17.69 / $33.47	Facility		$10.62	$17.69	$33.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.42 / $26.94	Professional		$21.31	$21.42	$26.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $22.45 / $29.27	Professional		$21.29	$22.45	$29.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $21.61 / $47.90	Professional		$14.44	$21.61	$47.90