Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $19.36 / $55.36	Facility		$19.36	$19.36	$55.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.36 / $29.61	Professional		$19.35	$19.36	$29.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $23.92 / $27.38	Facility		$19.53	$23.92	$27.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $22.78 / $44.28	Professional		$19.48	$22.78	$44.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $21.64 / $49.47	Facility		$19.36	$21.64	$49.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $58.07	Professional		$21.64	$21.64	$58.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Facility		$21.40	$21.40	$21.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $28.00 / $393.93	Professional		$23.00	$28.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $90.00 / $100.00	Facility		$28.87	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $21.40 / $27.68	Facility		$21.40	$21.40	$27.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $37.60	Professional		$37.60	$37.60	$37.60
United Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $25.74 / $46.50	Professional		$22.78	$25.74	$46.50