Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $63.10 / $77.52	Facility		$32.22	$63.10	$77.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $32.54 / $64.70	Professional		$31.87	$32.54	$64.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $34.96 / $46.40	Facility		$28.40	$34.96	$46.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $32.22 / $74.43	Professional		$31.55	$32.22	$74.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $58.92 / $96.42	Facility		$56.92	$58.92	$96.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $32.83 / $93.35	Professional		$32.83	$32.83	$93.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $30.39 / $32.22	Facility		$30.39	$30.39	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $38.65 / $73.02	Professional		$29.00	$38.65	$73.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $132.77 / $251.10	Facility		$75.00	$132.77	$251.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $32.22 / $45.92	Facility		$30.39	$32.22	$45.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $69.69	Professional		$32.22	$32.22	$69.69
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $79.44	Professional		$32.22	$32.22	$79.44