Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $156.86 / $177.59	Facility		$78.93	$156.86	$177.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $79.72 / $134.74	Professional		$78.93	$79.72	$134.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.93 / $126.07 / $282.62	Facility		$80.93	$126.07	$282.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.93 / $221.05	Professional		$78.43	$78.93	$221.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $85.60 / $111.71	Facility		$71.50	$85.60	$111.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $192.89	Professional		$78.93	$78.93	$192.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $74.47 / $78.93	Facility		$74.47	$74.47	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $94.72 / $173.65	Professional		$71.04	$94.72	$173.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.99 / $394.65 / $398.70	Facility		$104.99	$394.65	$398.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $112.04	Facility		$74.47	$78.93	$112.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $170.73	Professional		$78.93	$78.93	$170.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $86.27 / $133.33	Professional		$63.15	$86.27	$133.33
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $177.91	Professional		$78.93	$78.93	$177.91