Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $28.42 / $32.02	Facility		$14.23	$28.42	$32.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.37 / $24.41	Professional		$14.23	$14.37	$24.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $22.73 / $50.95	Facility		$14.59	$22.73	$50.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $14.23 / $40.03	Professional		$14.21	$14.23	$40.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $22.98 / $33.93	Facility		$20.56	$22.98	$33.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.50 / $36.26	Professional		$14.50	$14.50	$36.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $14.23	Facility		$13.43	$13.43	$14.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $17.07 / $32.72	Professional		$12.81	$17.07	$32.72
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 $13.43 / $14.23 / $20.21	Facility		$13.43	$14.23	$20.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $30.78	Professional		$14.23	$14.23	$30.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $15.66 / $24.19	Professional		$11.39	$15.66	$24.19
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $30.31	Professional		$14.23	$14.23	$30.31