Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.22 / $106.53 / $122.52	Facility		$46.22	$106.53	$122.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $46.22 / $84.86	Professional		$38.43	$46.22	$84.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $51.52 / $66.83	Facility		$42.61	$51.52	$66.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $47.34 / $92.45	Professional		$8.15	$47.34	$92.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $51.34 / $75.84	Facility		$45.08	$51.34	$75.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $46.22 / $115.57	Professional		$46.22	$46.22	$115.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Facility		$47.34	$47.34	$47.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
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 $75.00 / $120.80 / $226.50	Facility		$75.00	$120.80	$226.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $47.34 / $66.09	Facility		$17.23	$47.34	$66.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $47.34 / $47.34	Professional		$8.49	$47.34	$47.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $95.39	Professional		$46.41	$46.41	$95.39