Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $149.36 / $175.71	Facility		$66.29	$149.36	$175.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $66.29 / $112.89	Professional		$55.11	$66.29	$112.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $73.88 / $95.85	Facility		$61.10	$73.88	$95.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $67.89 / $136.58	Professional		$66.56	$67.89	$136.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $67.89 / $82.30	Facility		$43.80	$67.89	$82.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $66.29 / $130.36	Professional		$66.29	$66.29	$130.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
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 $107.24 / $305.73 / $339.50	Facility		$107.24	$305.73	$339.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $67.89 / $94.79	Facility		$41.86	$67.89	$94.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $67.89 / $178.94	Professional		$58.34	$67.89	$178.94
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $135.86	Professional		$66.56	$66.56	$135.86