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 $11.66 / $14.22 / $18.23	Professional		$11.66	$14.22	$18.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $11.95 / $11.95	Facility		$11.12	$11.95	$11.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $10.71 / $18.86	Professional		$4.17	$10.71	$18.86
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 / $14.42 / $28.00	Professional		$10.00	$14.42	$28.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $26.00 / $801.00	Professional		$12.00	$26.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $80.00	Facility		$70.00	$70.00	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
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 $16.62 / $16.62 / $16.62	Professional		$16.62	$16.62	$16.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $14.92 / $21.34	Facility		$5.65	$14.92	$21.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $14.42 / $28.00	Professional		$9.00	$14.42	$28.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $16.62 / $16.62	Professional		$16.62	$16.62	$16.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $5.36 / $5.36	Facility		$5.36	$5.36	$5.36
United Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $5.60 / $18.64	Professional		$3.92	$5.60	$18.64