Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $82.80 / $95.58	Facility		$42.48	$82.80	$95.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.90 / $71.13	Professional		$42.13	$42.90	$71.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $67.84 / $152.10	Facility		$43.33	$67.84	$152.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $42.48 / $116.70	Professional		$41.40	$42.48	$116.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $52.30 / $98.36	Facility		$45.36	$52.30	$98.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $43.28 / $106.99	Professional		$43.28	$43.28	$106.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $40.07 / $42.48	Facility		$40.07	$40.07	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $50.98 / $96.27	Professional		$38.22	$50.98	$96.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $212.40 / $213.85	Facility		$75.00	$212.40	$213.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $42.48 / $60.16	Facility		$40.07	$42.48	$60.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $91.88	Professional		$42.48	$42.48	$91.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $46.73 / $72.20	Professional		$33.97	$46.73	$72.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $91.37	Professional		$42.48	$42.48	$91.37