Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $161.50 / $181.30	Facility		$80.91	$161.50	$181.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $81.72 / $138.72	Professional		$80.91	$81.72	$138.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $129.24 / $289.70	Facility		$82.96	$129.24	$289.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $80.91 / $227.59	Professional		$80.75	$80.91	$227.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $84.13 / $107.50	Facility		$70.80	$84.13	$107.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $82.44 / $183.02	Professional		$82.44	$82.44	$183.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $76.33 / $80.91	Facility		$76.33	$76.33	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $97.09 / $183.36	Professional		$72.81	$97.09	$183.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $389.10 / $404.55	Facility		$103.52	$389.10	$404.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $80.91 / $114.79	Facility		$76.33	$80.91	$114.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $175.01	Professional		$80.91	$80.91	$175.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $89.00 / $137.55	Professional		$64.73	$89.00	$137.55
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $169.78	Professional		$80.91	$80.91	$169.78