Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $149.72 / $170.93	Facility		$75.97	$149.72	$170.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $76.73 / $134.77	Professional		$75.97	$76.73	$134.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $121.35 / $272.02	Facility		$77.89	$121.35	$272.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $75.97 / $176.58	Professional		$74.86	$75.97	$176.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $82.30 / $187.46	Facility		$67.30	$82.30	$187.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $77.41 / $193.56	Professional		$77.41	$77.41	$193.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $75.97	Facility		$71.67	$71.67	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $91.16 / $182.00	Professional		$68.37	$91.16	$182.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.68 / $465.60 / $624.26	Facility		$93.68	$465.60	$624.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $75.97 / $107.90	Facility		$71.67	$75.97	$107.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $164.32	Professional		$75.97	$75.97	$164.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $83.57 / $129.15	Professional		$60.78	$83.57	$129.15
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $195.47	Professional		$75.97	$75.97	$195.47