Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Facility		$39.65	$39.65	$39.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $113.80 / $113.80	Professional		$113.80	$113.80	$113.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $93.02 / $117.63	Facility		$29.75	$93.02	$117.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $35.50 / $96.96	Professional		$35.50	$35.50	$96.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $31.89	Professional		$31.89	$31.89	$31.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $49.21 / $96.29	Professional		$37.53	$49.21	$96.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $211.40 / $211.40	Facility		$70.34	$211.40	$211.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $51.80 / $70.88	Facility		$43.77	$51.80	$70.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $41.70 / $43.77	Professional		$31.89	$41.70	$43.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $46.15 / $63.90	Professional		$28.40	$46.15	$63.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $41.97 / $115.45	Professional		$33.65	$41.97	$115.45