Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $88.15	Facility		$3.00	$3.00	$88.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.34 / $65.00	Professional		$3.00	$4.34	$65.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $17.14 / $45.14	Facility		$14.18	$17.14	$45.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $21.90 / $41.69	Professional		$12.77	$21.90	$41.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $57.37 / $160.58	Facility		$39.84	$57.37	$160.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.01 / $44.04	Professional		$19.50	$26.01	$44.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $24.67 / $33.27	Professional		$13.19	$24.67	$33.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $20.62 / $41.18	Professional		$16.05	$20.62	$41.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $75.68 / $86.97	Facility		$35.14	$75.68	$86.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $11.58 / $30.51	Facility		$3.15	$11.58	$30.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $18.30 / $38.49	Professional		$14.00	$18.30	$38.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $16.87 / $45.46	Professional		$14.44	$16.87	$45.46