Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $24.70 / $7,083.95	Facility		$12.32	$24.70	$7,083.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.44 / $3,496.04	Professional		$12.32	$12.44	$3,496.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $19.68 / $44.11	Facility		$12.66	$19.68	$44.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.35 / $34.79	Professional		$12.32	$12.35	$34.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $13.34 / $28.23	Facility		$12.39	$13.34	$28.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $12.55 / $31.38	Professional		$12.55	$12.55	$31.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $12.32	Facility		$11.62	$11.62	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $14.78 / $27.92	Professional		$11.09	$14.78	$27.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $12.32 / $17.45	Facility		$11.62	$12.32	$17.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $26.65	Professional		$12.32	$12.32	$26.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $13.55 / $20.94	Professional		$9.85	$13.55	$20.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $25.39	Professional		$12.32	$12.32	$25.39