Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $77.91 / $110.84	Facility		$30.57	$77.91	$110.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $34.22 / $55.70	Professional		$30.57	$34.22	$55.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $54.58 / $122.35	Facility		$32.36	$54.58	$122.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $35.97 / $65.81	Professional		$23.25	$35.97	$65.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $34.17 / $53.96	Facility		$30.57	$34.17	$53.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $34.17 / $96.07	Professional		$34.17	$34.17	$96.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Facility		$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Professional		$33.71	$33.71	$33.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $41.00 / $393.93	Professional		$36.00	$41.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $90.00 / $134.88	Facility		$39.86	$90.00	$134.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $43.72	Facility		$33.71	$33.71	$43.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Professional		$33.71	$33.71	$33.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $52.02 / $52.02	Professional		$52.02	$52.02	$52.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $44.42 / $58.09	Professional		$34.17	$44.42	$58.09
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $38.61 / $69.75	Professional		$35.97	$38.61	$69.75