Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $34.88 / $39.15	Facility		$17.62	$34.88	$39.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.79 / $63.77	Professional		$17.62	$17.79	$63.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $28.14 / $63.09	Facility		$18.07	$28.14	$63.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.62 / $44.71	Professional		$17.44	$17.62	$44.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $30.47 / $51.63	Facility		$21.25	$30.47	$51.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $50.10	Professional		$17.62	$17.62	$50.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $17.62	Facility		$16.62	$16.62	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $21.14 / $39.93	Professional		$15.86	$21.14	$39.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $264.00 / $264.00	Facility		$75.00	$264.00	$264.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $17.62 / $25.20	Facility		$16.62	$17.62	$25.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $38.11	Professional		$17.62	$17.62	$38.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $19.38 / $29.95	Professional		$14.09	$19.38	$29.95
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $37.03	Professional		$17.62	$17.62	$37.03