Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $126.94 / $139.63	Facility		$52.68	$126.94	$139.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $52.68 / $63.22	Professional		$43.79	$52.68	$63.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $60.88 / $76.16	Facility		$42.61	$60.88	$76.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $63.47 / $112.21	Professional		$52.89	$63.47	$112.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $111.60 / $292.68	Facility		$92.60	$111.60	$292.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $34.54 / $84.56	Professional		$28.07	$34.54	$84.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
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 / $937.78 / $937.78	Facility		$75.00	$937.78	$937.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $75.33	Facility		$53.95	$53.95	$75.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $53.95 / $71.01	Professional		$30.05	$53.95	$71.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $68.77 / $89.93	Professional		$52.90	$68.77	$89.93
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $109.01	Professional		$52.89	$52.89	$109.01