Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $89.76 / $105.60	Facility		$39.84	$89.76	$105.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.84 / $67.84	Professional		$33.11	$39.84	$67.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.99 / $42.84 / $49.04	Facility		$34.99	$42.84	$49.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $40.79 / $97.51	Professional		$11.49	$40.79	$97.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $45.60 / $77.20	Facility		$40.79	$45.60	$77.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $43.20 / $107.14	Professional		$43.20	$43.20	$107.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $100.00 / $100.00	Facility		$48.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $42.40 / $56.97	Facility		$39.84	$42.40	$56.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $42.40 / $44.00	Professional		$10.25	$42.40	$44.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $52.00 / $68.00	Professional		$40.00	$52.00	$68.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $102.06	Professional		$50.00	$50.00	$102.06