Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $229.45 / $269.94	Facility		$101.84	$229.45	$269.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $101.84 / $173.43	Professional		$84.66	$101.84	$173.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.44 / $109.52 / $125.37	Facility		$89.44	$109.52	$125.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $104.30 / $192.52	Professional		$27.84	$104.30	$192.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $96.30 / $122.70	Facility		$75.50	$96.30	$122.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $110.43 / $273.87	Professional		$110.43	$110.43	$273.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
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 $122.70 / $541.95 / $541.95	Facility		$122.70	$541.95	$541.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $108.39 / $145.63	Facility		$20.16	$108.39	$145.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $108.39 / $112.48	Professional		$28.99	$108.39	$112.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $140.91 / $184.26	Professional		$108.39	$140.91	$184.26
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $248.64	Professional		$122.70	$122.70	$248.64