Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $35.86 / $98.52	Facility		$18.50	$35.86	$98.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $18.68 / $29.89	Professional		$17.55	$18.68	$29.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $29.55 / $66.48	Facility		$18.87	$29.55	$66.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.50 / $48.97	Professional		$18.03	$18.50	$48.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $36.46 / $55.27	Facility		$32.61	$36.46	$55.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $53.60	Professional		$18.85	$18.85	$53.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $17.45 / $18.50	Facility		$17.45	$17.45	$18.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Professional		$18.50	$18.50	$18.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $22.20 / $42.55	Professional		$16.64	$22.20	$42.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $134.80 / $134.80	Facility		$75.00	$134.80	$134.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $18.50 / $26.17	Facility		$17.45	$18.50	$26.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $40.02	Professional		$18.50	$18.50	$40.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $20.35 / $31.44	Professional		$14.80	$20.35	$31.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.61 / $45.62	Professional		$18.50	$19.61	$45.62