Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $371.54	Facility		$109.65	$125.89	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $831.76	Professional		$60.26	$64.57	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $194.98	Facility		$61.66	$77.62	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $323.59	Professional		$61.66	$74.13	$323.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $100.00 / $281.84	Facility		$79.43	$100.00	$281.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $181.97	Professional		$60.26	$77.62	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $60.26	Facility		$54.95	$54.95	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $234.42	Professional		$53.70	$66.07	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $107.15 / $169.82	Facility		$70.79	$107.15	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $120.23	Professional		$56.23	$77.62	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $204.17	Professional		$60.26	$60.26	$204.17