Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $77.90 / $91.65	Facility		$34.58	$77.90	$91.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $34.58 / $58.89	Professional		$28.75	$34.58	$58.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $38.54 / $50.00	Facility		$31.87	$38.54	$50.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $35.40 / $75.06	Professional		$3.35	$35.40	$75.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $35.40 / $59.99	Facility		$11.39	$35.40	$59.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $34.58 / $97.22	Professional		$34.58	$34.58	$97.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
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 $75.00 / $100.00 / $156.22	Facility		$75.00	$100.00	$156.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $49.45	Facility		$35.40	$35.40	$49.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $35.40 / $35.40	Professional		$3.18	$35.40	$35.40
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $77.18	Professional		$34.72	$34.72	$77.18