Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $32.72 / $38.50	Facility		$14.53	$32.72	$38.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $14.53 / $24.74	Professional		$12.08	$14.53	$24.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $15.62 / $17.89	Facility		$12.76	$15.62	$17.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $14.88 / $36.15	Professional		$13.92	$14.88	$36.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $77.20 / $77.20	Facility		$77.20	$77.20	$77.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $32.71 / $90.62	Professional		$32.71	$32.71	$90.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $100.00 / $100.00	Facility		$26.35	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $30.15 / $30.15	Facility		$18.82	$30.15	$30.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $30.15 / $32.38	Professional		$14.50	$30.15	$32.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $29.26 / $38.27	Professional		$22.51	$29.26	$38.27
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $36.07	Professional		$17.50	$17.50	$36.07