Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $76.50 / $120.52	Facility		$9.76	$76.50	$120.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.36 / $55.46	Professional		$9.75	$11.36	$55.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $13.63 / $35.88	Facility		$11.27	$13.63	$35.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.97 / $26.43	Professional		$11.75	$15.97	$26.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $79.23 / $126.28	Facility		$53.27	$79.23	$126.28
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 $32.46 / $41.57 / $82.74	Professional		$32.46	$41.57	$82.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $62.79 / $180.62 / $182.69	Facility		$62.79	$180.62	$182.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $17.69 / $33.47	Facility		$10.25	$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
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $22.01 / $50.93	Professional		$14.44	$22.01	$50.93