Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $350.00 / $350.00	Professional		$105.71	$350.00	$350.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $58.02 / $58.02	Facility		$53.96	$58.02	$58.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,225.24 / $3,225.24 / $3,225.24	Professional		$3,225.24	$3,225.24	$3,225.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $184.28 / $184.28	Facility		$127.99	$184.28	$184.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $183.92 / $356.65	Professional		$100.00	$183.92	$356.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $638.07 / $801.00	Professional		$350.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,000.00 / $2,000.00	Facility		$600.00	$2,000.00	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $530.00 / $530.00	Professional		$530.00	$530.00	$530.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $60.00 / $85.00	Professional		$12.49	$60.00	$85.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $32.00 / $999.99	Professional		$27.00	$32.00	$999.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $78.00 / $121.42	Professional		$50.00	$78.00	$121.42