Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $81.40 / $95.77	Facility		$36.13	$81.40	$95.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $36.13 / $61.53	Professional		$30.04	$36.13	$61.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $50.28 / $108.12	Facility		$37.00	$50.28	$108.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $39.90 / $74.44	Professional		$37.00	$39.90	$74.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $37.00 / $55.72	Facility		$33.65	$37.00	$55.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $30.66 / $76.67	Professional		$30.66	$30.66	$76.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Facility		$40.71	$40.71	$40.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
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 $85.00 / $161.90 / $163.85	Facility		$85.00	$161.90	$163.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $40.71 / $51.67	Facility		$30.10	$40.71	$51.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $47.16 / $61.68	Professional		$36.28	$47.16	$61.68
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $84.98	Professional		$39.90	$39.90	$84.98