Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Facility		$18.23	$18.23	$18.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.51 / $19.12	Professional		$13.28	$14.51	$19.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $35.39 / $35.39	Facility		$32.92	$35.39	$35.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.50 / $55.00	Professional		$19.05	$30.50	$55.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $350.60 / $902.60	Facility		$77.18	$350.60	$902.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.45 / $82.67	Professional		$10.00	$15.45	$82.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $36.00 / $801.00	Professional		$30.00	$36.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.16 / $190.76 / $217.93	Facility		$87.16	$190.76	$217.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $222.35 / $352.58	Professional		$219.11	$222.35	$352.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $85.00	Professional		$50.00	$85.00	$85.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $60.99 / $60.99	Professional		$60.99	$60.99	$60.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $18.97 / $55.76	Facility		$14.00	$18.97	$55.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.00 / $58.00	Professional		$11.00	$15.00	$58.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $60.99 / $60.99	Professional		$60.99	$60.99	$60.99
United Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $47.47 / $47.47	Facility		$47.47	$47.47	$47.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $50.16 / $159.79	Professional		$34.72	$50.16	$159.79