Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $41.00 / $8,292.27	Facility		$19.97	$41.00	$8,292.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $20.17 / $41.54	Professional		$19.97	$20.17	$41.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $31.90 / $71.50	Facility		$20.48	$31.90	$71.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.97 / $55.92	Professional		$19.85	$19.97	$55.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $20.49 / $41.95	Facility		$19.26	$20.49	$41.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $51.41	Professional		$20.35	$20.35	$51.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $19.97	Facility		$18.84	$18.84	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $23.96 / $43.93	Professional		$17.97	$23.96	$43.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $96.60 / $99.85	Facility		$75.00	$96.60	$99.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $19.97 / $28.46	Facility		$18.84	$19.97	$28.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $43.20	Professional		$19.97	$19.97	$43.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $21.97 / $33.96	Professional		$15.98	$21.97	$33.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $40.76	Professional		$19.97	$19.97	$40.76