Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $48.90 / $67.14	Facility		$29.84	$48.90	$67.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $29.84 / $56.85	Professional		$29.58	$29.84	$56.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $47.66 / $106.85	Facility		$25.94	$47.66	$106.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $29.84 / $104.94	Professional		$24.45	$29.84	$104.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $78.26 / $113.83	Facility		$58.47	$78.26	$113.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $30.41 / $86.46	Professional		$30.41	$30.41	$86.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $28.15 / $29.84	Facility		$28.15	$28.15	$29.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $35.81 / $78.00	Professional		$26.86	$35.81	$78.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $149.19 / $149.78	Facility		$88.93	$149.19	$149.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $29.84 / $42.24	Facility		$28.15	$29.84	$42.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $64.54	Professional		$29.84	$29.84	$64.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $32.83 / $50.73	Professional		$23.88	$32.83	$50.73
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $73.58	Professional		$29.84	$29.84	$73.58