Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $143.32 / $1,949.90	Facility		$66.64	$143.32	$1,949.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $67.31 / $123.11	Professional		$66.64	$67.31	$123.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $106.44 / $238.61	Facility		$70.70	$106.44	$238.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $71.66 / $157.53	Professional		$66.64	$71.66	$157.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $90.77 / $110.91	Facility		$71.50	$90.77	$110.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $67.90 / $169.78	Professional		$67.90	$67.90	$169.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $66.64	Facility		$62.87	$62.87	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $79.97 / $146.61	Professional		$59.98	$79.97	$146.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $333.20 / $400.46	Facility		$90.77	$333.20	$400.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $66.64 / $95.30	Facility		$62.87	$66.64	$95.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $144.13	Professional		$66.64	$66.64	$144.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $73.31 / $113.29	Professional		$53.31	$73.31	$113.29
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $141.93	Professional		$66.64	$66.64	$141.93