Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $34.00 / $84.87	Facility		$18.68	$34.00	$84.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $20.54 / $37.89	Professional		$18.67	$20.54	$37.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $33.35 / $74.76	Facility		$19.78	$33.35	$74.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $21.98 / $42.86	Professional		$17.10	$21.98	$42.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $20.88 / $36.88	Facility		$18.68	$20.88	$36.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $20.88 / $53.42	Professional		$20.88	$20.88	$53.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $24.00 / $393.93	Professional		$22.00	$24.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $90.00 / $100.00	Facility		$26.58	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $26.71	Facility		$20.65	$20.65	$26.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $34.11	Professional		$34.11	$34.11	$34.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $27.14 / $35.50	Professional		$20.88	$27.14	$35.50
United Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $23.59 / $43.03	Professional		$21.98	$23.59	$43.03