Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $83.92 / $103.08	Facility		$41.98	$83.92	$103.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $42.40 / $72.17	Professional		$41.98	$42.40	$72.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $67.05 / $150.85	Facility		$43.04	$67.05	$150.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $41.98 / $118.28	Professional		$41.96	$41.98	$118.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.13 / $43.44 / $94.86	Facility		$41.13	$43.44	$94.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $42.77 / $105.73	Professional		$42.77	$42.77	$105.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $41.98	Facility		$39.61	$39.61	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Professional		$41.98	$41.98	$41.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $50.38 / $95.14	Professional		$37.78	$50.38	$95.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $206.20 / $209.90	Facility		$75.00	$206.20	$209.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $41.98 / $59.70	Facility		$39.61	$41.98	$59.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $90.80	Professional		$41.98	$41.98	$90.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $46.18 / $71.37	Professional		$33.59	$46.18	$71.37
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $86.29	Professional		$41.98	$41.98	$86.29