Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $232.96 / $292.17	Professional		$200.64	$232.96	$292.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.66 / $219.66 / $219.66	Facility		$219.66	$219.66	$219.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $56.70 / $281.38	Professional		$13.75	$56.70	$281.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $232.88 / $445.31	Professional		$232.88	$232.88	$445.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,541.69 / $1,597.90 / $1,597.90	Facility		$1,541.69	$1,597.90	$1,597.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.28 / $285.26 / $383.63	Facility		$216.28	$285.26	$383.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $232.88 / $376.90	Professional		$232.88	$232.88	$376.90
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 $236.06 / $291.14 / $637.70	Professional		$236.06	$291.14	$637.70