Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Facility		$28.97	$28.97	$28.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $30.58 / $52.00	Professional		$28.96	$30.58	$52.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $45.01 / $120.89	Facility		$32.36	$45.01	$120.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $40.89 / $62.36	Professional		$28.97	$40.89	$62.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $32.38 / $51.12	Facility		$28.97	$32.38	$51.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.38 / $91.03	Professional		$32.38	$32.38	$91.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Facility		$31.94	$31.94	$31.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $54.00 / $393.93	Professional		$35.00	$54.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $90.00 / $127.80	Facility		$37.58	$90.00	$127.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $31.94 / $41.43	Facility		$31.94	$31.94	$41.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $85.57 / $85.57	Professional		$85.57	$85.57	$85.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.08 / $55.03	Professional		$32.36	$42.08	$55.03
United Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $36.59 / $69.06	Professional		$34.08	$36.59	$69.06