Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $124.30 / $5,021.28	Facility		$61.80	$124.30	$5,021.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $62.41 / $235.95	Professional		$61.79	$62.41	$235.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $94.74 / $230.79	Facility		$62.15	$94.74	$230.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $73.29 / $309.57	Professional		$61.80	$73.29	$309.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $100.00 / $279.33	Facility		$76.20	$100.00	$279.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $62.96 / $157.43	Professional		$62.96	$62.96	$157.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $61.80	Facility		$55.28	$55.28	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $74.16 / $165.01	Professional		$55.62	$74.16	$165.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $271.20 / $747.02 / $747.02	Facility		$271.20	$747.02	$747.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $61.80 / $87.71	Facility		$55.28	$61.80	$87.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $67.98 / $105.05	Professional		$49.44	$67.98	$105.05
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $203.04	Professional		$61.80	$61.80	$203.04