Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $54.04 / $59.44	Facility		$22.43	$54.04	$59.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $22.43 / $26.92	Professional		$18.64	$22.43	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $25.92 / $32.43	Facility		$18.14	$25.92	$32.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $25.60 / $44.85	Professional		$14.84	$25.60	$44.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.57 / $36.22 / $56.09	Facility		$24.57	$36.22	$56.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.42 / $16.14	Professional		$6.42	$6.42	$16.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
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 $75.00 / $187.56 / $187.56	Facility		$75.00	$187.56	$187.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $22.97 / $32.07	Facility		$22.43	$22.97	$32.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $22.97 / $35.08	Professional		$14.85	$22.97	$35.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $29.28 / $38.28	Professional		$22.52	$29.28	$38.28
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $46.41	Professional		$22.52	$22.52	$46.41