Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $37.90 / $48.44	Facility		$22.02	$37.90	$48.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.23 / $3,374.35	Professional		$22.01	$22.23	$3,374.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $35.17 / $78.84	Facility		$19.96	$35.17	$78.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $22.02 / $53.41	Professional		$18.95	$22.02	$53.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $35.82 / $50.57	Facility		$34.44	$35.82	$50.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $63.78	Professional		$22.43	$22.43	$63.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $20.77 / $22.02	Facility		$20.77	$20.77	$22.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $26.42 / $49.90	Professional		$19.82	$26.42	$49.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $104.15 / $110.10	Facility		$75.00	$104.15	$110.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $22.02 / $31.22	Facility		$20.77	$22.02	$31.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $47.63	Professional		$22.02	$22.02	$47.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $24.22 / $37.43	Professional		$17.61	$24.22	$37.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $49.19	Professional		$22.02	$22.02	$49.19