Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $180.09 / $281.37	Facility		$69.65	$180.09	$281.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $69.65 / $151.63	Professional		$57.90	$69.65	$151.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.72 / $200.17 / $448.72	Facility		$53.72	$200.17	$448.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $71.33 / $244.80	Professional		$46.67	$71.33	$244.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $82.40 / $379.00	Facility		$68.81	$82.40	$379.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $127.68 / $319.26	Professional		$127.68	$127.68	$319.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
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 $412.30 / $1,382.85 / $1,382.85	Facility		$412.30	$1,382.85	$1,382.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $125.32	Facility		$47.60	$47.60	$125.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $698.62	Professional		$47.60	$47.60	$698.62
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $172.94	Professional		$46.67	$46.67	$172.94