Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $102.14 / $1,107.93	Facility		$41.15	$102.14	$1,107.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $41.15 / $70.08	Professional		$34.21	$41.15	$70.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $55.55 / $124.53	Facility		$42.14	$55.55	$124.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $42.14 / $82.64	Professional		$23.34	$42.14	$82.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $42.14 / $61.97	Facility		$33.47	$42.14	$61.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $41.15 / $101.72	Professional		$41.15	$41.15	$101.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $74.00 / $393.93	Professional		$46.00	$74.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $202.60 / $212.85	Facility		$75.00	$202.60	$212.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $42.14 / $58.84	Facility		$34.78	$42.14	$58.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $42.14 / $47.61	Professional		$20.14	$42.14	$47.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $42.65 / $55.78	Professional		$32.81	$42.65	$55.78
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $84.24	Professional		$41.31	$41.31	$84.24