Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $60.81 / $71.54	Facility		$26.99	$60.81	$71.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $26.99 / $45.96	Professional		$22.44	$26.99	$45.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $30.08 / $39.02	Facility		$24.88	$30.08	$39.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $27.64 / $53.98	Professional		$25.06	$27.64	$53.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $30.89 / $46.10	Facility		$27.64	$30.89	$46.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $26.99 / $67.48	Professional		$26.99	$26.99	$67.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
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 $75.00 / $120.45 / $120.45	Facility		$75.00	$120.45	$120.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $38.60	Facility		$27.64	$27.64	$38.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $27.64 / $50.45	Professional		$22.63	$27.64	$50.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $35.22 / $46.07	Professional		$27.10	$35.22	$46.07
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $65.23	Professional		$27.10	$27.10	$65.23