Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $79.84 / $231.75	Facility		$37.35	$79.84	$231.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $37.35 / $54.40	Professional		$31.05	$37.35	$54.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $41.63 / $54.00	Facility		$34.43	$41.63	$54.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $38.25 / $74.70	Professional		$2.22	$38.25	$74.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.95 / $36.74 / $57.10	Facility		$35.95	$36.74	$57.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $37.35 / $100.00	Professional		$37.35	$37.35	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $49.00 / $393.93	Professional		$30.00	$49.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $168.75	Facility		$75.00	$100.00	$168.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $38.25 / $53.41	Facility		$3.67	$38.25	$53.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $16.00 / $38.25	Professional		$2.83	$16.00	$38.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $83.77	Professional		$37.50	$37.50	$83.77