Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $158.35 / $186.30	Facility		$70.28	$158.35	$186.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $70.28 / $119.69	Professional		$58.43	$70.28	$119.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $101.22 / $227.02	Facility		$71.98	$101.22	$227.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $71.98 / $172.03	Professional		$31.05	$71.98	$172.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $79.23 / $121.94	Facility		$64.20	$79.23	$121.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $70.28 / $174.29	Professional		$70.28	$70.28	$174.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Facility		$60.25	$60.25	$60.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
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 $84.68 / $374.00 / $374.00	Facility		$84.68	$374.00	$374.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $100.50	Facility		$60.25	$60.25	$100.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $60.25 / $75.19	Professional		$31.82	$60.25	$75.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $91.78 / $120.02	Professional		$70.59	$91.78	$120.02
United Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $238.80 / $238.80	Facility		$226.59	$238.80	$238.80
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $150.30	Professional		$70.56	$70.56	$150.30