Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $65.53 / $102.54	Facility		$20.00	$65.53	$102.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.08 / $66.03	Professional		$20.00	$28.08	$66.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $35.70 / $80.03	Facility		$21.18	$35.70	$80.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.53 / $43.05	Professional		$20.00	$23.53	$43.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $22.35 / $39.34	Facility		$20.00	$22.35	$39.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $22.35 / $56.19	Professional		$22.35	$22.35	$56.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $22.10 / $22.10	Professional		$15.41	$22.10	$22.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $32.00 / $393.93	Professional		$25.00	$32.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $90.00 / $100.00	Facility		$27.04	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $28.60	Facility		$22.10	$22.10	$28.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $22.10 / $22.10	Professional		$15.18	$22.10	$22.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $34.85 / $34.85	Professional		$34.85	$34.85	$34.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $29.06 / $38.00	Professional		$22.35	$29.06	$38.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $25.26 / $57.51	Professional		$22.65	$25.26	$57.51