Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $126.56 / $148.90	Facility		$56.17	$126.56	$148.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $56.17 / $95.66	Professional		$46.70	$56.17	$95.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $62.60 / $81.22	Facility		$51.78	$62.60	$81.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $57.53 / $115.73	Professional		$56.40	$57.53	$115.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $59.56 / $97.46	Facility		$57.53	$59.56	$97.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $56.17 / $139.30	Professional		$56.17	$56.17	$139.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $93.00 / $393.93	Professional		$62.00	$93.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $293.95 / $293.95	Facility		$80.00	$293.95	$293.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $80.31	Facility		$57.53	$57.53	$80.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $73.31 / $95.88	Professional		$56.40	$73.31	$95.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $116.24	Professional		$56.40	$56.40	$116.24