Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $49.20 / $57.88	Facility		$21.84	$49.20	$57.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $21.84 / $37.19	Professional		$18.14	$21.84	$37.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $22.10 / $25.30	Facility		$18.05	$22.10	$25.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $60.31	Professional		$21.05	$21.05	$60.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $53.63 / $53.63	Facility		$53.63	$53.63	$53.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $53.92	Professional		$21.45	$21.45	$53.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
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 $39.84 / $109.76 / $113.76	Facility		$39.84	$109.76	$113.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $31.28	Facility		$21.05	$21.05	$31.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.92 / $48.67	Professional		$21.05	$21.92	$48.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $53.06	Professional		$21.05	$21.05	$53.06