Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $84.67 / $171.09	Facility		$36.36	$84.67	$171.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $42.73 / $69.03	Professional		$28.67	$42.73	$69.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $47.70 / $58.96	Facility		$39.65	$47.70	$58.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $50.40 / $85.78	Professional		$23.45	$50.40	$85.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.55 / $42.84 / $60.48	Facility		$28.55	$42.84	$60.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $95.22	Professional		$38.08	$38.08	$95.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $47.32	Facility		$35.25	$35.25	$47.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $47.32 / $47.32	Professional		$20.18	$47.32	$47.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $44.84 / $84.69	Professional		$33.63	$44.84	$84.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $147.79 / $147.79	Facility		$47.37	$147.79	$147.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $37.36 / $53.27	Facility		$35.25	$37.36	$53.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $37.36 / $47.32	Professional		$20.18	$37.36	$47.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $44.97 / $44.97	Professional		$44.97	$44.97	$44.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $41.11 / $63.53	Professional		$29.90	$41.11	$63.53
United Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $49.16 / $86.24	Professional		$46.48	$49.16	$86.24