Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $31.16 / $36.22	Facility		$16.07	$31.16	$36.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.23 / $33.45	Professional		$16.07	$16.23	$33.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $25.68 / $57.58	Facility		$16.36	$25.68	$57.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.07 / $51.74	Professional		$15.58	$16.07	$51.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $66.77 / $117.83	Facility		$37.08	$66.77	$117.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $16.38 / $46.57	Professional		$16.38	$16.38	$46.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $16.07	Facility		$15.17	$15.17	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $19.30 / $42.93	Professional		$14.47	$19.30	$42.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $411.35 / $411.35	Facility		$86.40	$411.35	$411.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $16.07 / $22.99	Facility		$15.17	$16.07	$22.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $34.78	Professional		$16.07	$16.07	$34.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $17.68 / $27.33	Professional		$12.86	$17.68	$27.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $41.37	Professional		$16.07	$16.07	$41.37