Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $175.31 / $206.25	Facility		$77.81	$175.31	$206.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $77.81 / $132.51	Professional		$64.69	$77.81	$132.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $84.54 / $95.79	Facility		$79.23	$84.54	$95.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $79.69 / $188.87	Professional		$74.69	$79.69	$188.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $62.85 / $91.93	Facility		$45.67	$62.85	$91.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $82.17 / $82.17	Professional		$82.17	$82.17	$82.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
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 $141.37 / $389.38 / $403.61	Facility		$141.37	$389.38	$403.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $111.45	Facility		$79.50	$79.50	$111.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $79.50 / $173.44	Professional		$77.78	$79.50	$173.44
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $186.40	Professional		$90.69	$90.69	$186.40