Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $40.74 / $64.57	Facility		$25.70	$40.74	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $44.67	Professional		$19.05	$19.05	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.91 / $50.12	Facility		$19.50	$22.91	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.50 / $50.12	Professional		$19.05	$19.50	$50.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.38 / $41.69	Facility		$18.20	$21.38	$41.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $54.95	Professional		$19.50	$24.55	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $19.05	Facility		$17.78	$17.78	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $41.69	Professional		$16.98	$20.89	$41.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $29.51 / $48.98	Facility		$19.50	$29.51	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Professional		$19.50	$19.50	$20.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $33.11	Professional		$15.85	$21.38	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $41.69	Professional		$19.05	$19.05	$41.69