Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $29.92 / $35.20	Facility		$13.28	$29.92	$35.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.28 / $59.78	Professional		$11.04	$13.28	$59.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $14.28 / $16.35	Facility		$11.66	$14.28	$16.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $16.00 / $74.34	Professional		$13.60	$16.00	$74.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $23.50 / $35.43	Facility		$17.05	$23.50	$35.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $14.26 / $35.85	Professional		$14.26	$14.26	$35.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $22.00 / $393.93	Professional		$13.00	$22.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $387.65 / $401.76	Facility		$140.72	$387.65	$401.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $21.40	Facility		$14.00	$14.00	$21.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $29.60 / $167.48	Professional		$14.00	$29.60	$167.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $27.34 / $35.75	Professional		$21.03	$27.34	$35.75
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $34.08	Professional		$16.00	$16.00	$34.08