Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $167.18 / $201.15	Facility		$74.20	$167.18	$201.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $74.20 / $126.36	Professional		$61.69	$74.20	$126.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.39 / $82.70 / $107.28	Facility		$68.39	$82.70	$107.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $75.98 / $152.87	Professional		$74.50	$75.98	$152.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $81.09 / $114.43	Facility		$65.50	$81.09	$114.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $74.20 / $184.02	Professional		$74.20	$74.20	$184.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $149.00 / $393.93	Professional		$93.00	$149.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $384.55 / $384.55	Facility		$89.40	$384.55	$384.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $106.11	Facility		$75.98	$75.98	$106.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $96.85 / $126.65	Professional		$74.50	$96.85	$126.65
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $183.69	Professional		$74.50	$74.50	$183.69