Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $172.42 / $216.25	Professional		$148.50	$172.42	$216.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $26.18 / $181.11	Professional		$13.75	$26.18	$181.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $329.53	Professional		$172.39	$172.39	$329.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,141.64 / $1,183.27 / $1,183.27	Facility		$1,141.64	$1,183.27	$1,183.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.08 / $211.14 / $283.93	Facility		$160.08	$211.14	$283.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $279.05	Professional		$172.39	$172.39	$279.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $205.02 / $446.58	Professional		$174.87	$205.02	$446.58