Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $70.43	Facility		$24.86	$24.86	$70.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $28.22 / $58.17	Professional		$24.85	$28.22	$58.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $44.39 / $99.50	Facility		$26.33	$44.39	$99.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $29.25 / $53.52	Professional		$24.86	$29.25	$53.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $28.67 / $56.37	Facility		$24.86	$28.67	$56.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $76.63	Professional		$27.79	$27.79	$76.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Facility		$27.44	$27.44	$27.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $27.44 / $27.44	Professional		$21.81	$27.44	$27.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $34.00 / $393.93	Professional		$29.00	$34.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $90.00 / $109.69	Facility		$35.75	$90.00	$109.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $35.54	Facility		$27.44	$27.44	$35.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $27.44 / $27.44	Professional		$21.48	$27.44	$27.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Professional		$47.83	$47.83	$47.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $36.13 / $47.24	Professional		$27.79	$36.13	$47.24
United Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $85.80 / $85.80	Facility		$81.42	$85.80	$85.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $31.40 / $57.28	Professional		$29.25	$31.40	$57.28