Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $32.26	Facility		$26.62	$26.62	$32.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.89	Professional		$26.62	$26.62	$26.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $31.67 / $83.40	Facility		$26.19	$31.67	$83.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $32.77 / $70.15	Professional		$26.62	$32.77	$70.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $60.51 / $60.51	Facility		$37.68	$60.51	$60.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $27.13 / $72.40	Professional		$27.13	$27.13	$72.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $26.62	Facility		$25.12	$25.12	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $31.94 / $60.33	Professional		$23.96	$31.94	$60.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $126.78 / $126.78	Facility		$75.00	$126.78	$126.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.62 / $37.65	Facility		$25.12	$26.62	$37.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $59.18	Professional		$26.62	$26.62	$59.18