Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $76.36 / $416.67	Facility		$36.10	$76.36	$416.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $148.80	Professional		$36.85	$36.85	$148.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $41.07 / $53.28	Facility		$33.97	$41.07	$53.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.74 / $91.70	Professional		$37.00	$37.74	$91.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $42.18 / $109.19	Facility		$37.74	$42.18	$109.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $100.00	Professional		$36.85	$36.85	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Facility		$37.74	$37.74	$37.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Professional		$37.74	$37.74	$37.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $131.00 / $393.93	Professional		$82.00	$131.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.84 / $144.46 / $282.38	Facility		$90.84	$144.46	$282.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $37.74 / $79.97	Facility		$37.74	$37.74	$79.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $56.57 / $133.65	Professional		$37.74	$56.57	$133.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.96 / $149.44 / $195.43	Professional		$114.96	$149.44	$195.43
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $98.59	Professional		$37.00	$37.00	$98.59