Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $120.02 / $141.19	Facility		$53.27	$120.02	$141.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $53.27 / $90.72	Professional		$44.28	$53.27	$90.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $61.21 / $81.23	Facility		$49.10	$61.21	$81.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $54.55 / $106.54	Professional		$53.59	$54.55	$106.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $92.42	Facility		$54.55	$54.55	$92.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $60.94 / $151.13	Professional		$60.94	$60.94	$151.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
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 $80.00 / $299.05 / $299.05	Facility		$80.00	$299.05	$299.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $54.55 / $76.18	Facility		$53.27	$54.55	$76.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $76.83	Professional		$54.55	$54.55	$76.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $73.34 / $95.91	Professional		$56.42	$73.34	$95.91
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $131.58	Professional		$56.42	$56.42	$131.58