Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $102.89 / $173.62	Facility		$78.92	$102.89	$173.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $79.70 / $147.58	Professional		$62.21	$79.70	$147.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $126.06 / $282.58	Facility		$60.14	$126.06	$282.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $69.98 / $147.33	Professional		$51.41	$69.98	$147.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $98.70 / $122.00	Facility		$76.20	$98.70	$122.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $80.40 / $165.50	Professional		$80.40	$80.40	$165.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $74.45 / $78.92	Facility		$74.45	$74.45	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $94.70 / $178.85	Professional		$71.03	$94.70	$178.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $261.89 / $394.60	Facility		$111.43	$261.89	$394.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $78.92 / $112.04	Facility		$74.45	$78.92	$112.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $170.70	Professional		$78.92	$78.92	$170.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $86.81 / $134.16	Professional		$63.13	$86.81	$134.16
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $83.66 / $172.10	Professional		$78.92	$83.66	$172.10