Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $36.20 / $10,308.00	Facility		$18.07	$36.20	$10,308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.80 / $6,516.00	Professional		$18.07	$18.80	$6,516.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $28.88 / $64.73	Facility		$18.55	$28.88	$64.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.10 / $51.02	Professional		$18.07	$18.10	$51.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $19.14 / $40.89	Facility		$18.14	$19.14	$40.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $18.42 / $46.06	Professional		$18.42	$18.42	$46.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $18.07	Facility		$17.05	$17.05	$18.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $21.70 / $40.97	Professional		$16.27	$21.70	$40.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $88.90 / $90.40	Facility		$75.00	$88.90	$90.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $18.07 / $25.72	Facility		$17.05	$18.07	$25.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $39.11	Professional		$18.07	$18.07	$39.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $19.89 / $30.73	Professional		$14.46	$19.89	$30.73
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $36.90	Professional		$18.07	$18.07	$36.90