Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $36.60 / $93.42	Facility		$18.01	$36.60	$93.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $22.14 / $4,731.05	Professional		$18.01	$22.14	$4,731.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $28.77 / $64.48	Facility		$18.76	$28.77	$64.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.30 / $51.60	Professional		$18.01	$18.30	$51.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $23.72 / $40.86	Facility		$21.22	$23.72	$40.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $18.35 / $45.88	Professional		$18.35	$18.35	$45.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $18.01	Facility		$16.98	$16.98	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $21.61 / $39.61	Professional		$16.21	$21.61	$39.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $88.85 / $90.05	Facility		$75.00	$88.85	$90.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.01 / $25.72	Facility		$16.98	$18.01	$25.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $38.96	Professional		$18.01	$18.01	$38.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $19.80 / $30.62	Professional		$14.41	$19.80	$30.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $38.36	Professional		$18.01	$18.01	$38.36