Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $166.21 / $195.54	Facility		$73.77	$166.21	$195.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $73.77 / $125.63	Professional		$61.33	$73.77	$125.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.13 / $80.15 / $90.81	Facility		$75.13	$80.15	$90.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $75.55 / $179.05	Professional		$28.31	$75.55	$179.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $81.80 / $127.66	Facility		$67.30	$81.80	$127.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $73.58 / $182.48	Professional		$73.58	$73.58	$182.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $105.49	Facility		$75.55	$75.55	$105.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $164.43	Professional		$75.55	$75.55	$164.43
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $181.42	Professional		$88.88	$88.88	$181.42