Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $131.83 / $331.13	Facility		$52.48	$131.83	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $91.20	Professional		$50.12	$52.48	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $60.26 / $69.18	Facility		$53.70	$60.26	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $114.82	Professional		$53.70	$64.57	$114.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $190.55 / $371.54	Facility		$95.50	$190.55	$371.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $89.13	Professional		$28.18	$38.02	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $75.86 / $144.54	Facility		$53.70	$75.86	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $72.44	Professional		$53.70	$53.70	$72.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $89.13	Professional		$52.48	$69.18	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $87.10	Facility		$54.95	$56.23	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $123.03	Professional		$52.48	$52.48	$123.03