Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $88.15 / $103.71	Facility		$39.13	$88.15	$103.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $39.13 / $66.64	Professional		$26.90	$39.13	$66.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $42.07 / $48.16	Facility		$34.36	$42.07	$48.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $40.07 / $95.76	Professional		$36.24	$40.07	$95.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.97 / $73.02 / $106.64	Facility		$52.97	$73.02	$106.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $42.43 / $105.23	Professional		$42.43	$42.43	$105.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
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 $50.12 / $208.20 / $208.20	Facility		$50.12	$208.20	$208.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $55.96	Facility		$41.64	$41.64	$55.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $41.64 / $65.15	Professional		$27.58	$41.64	$65.15
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $95.52	Professional		$47.14	$47.14	$95.52