Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $24.60 / $24.60	Facility		$24.60	$24.60	$24.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $19.19 / $24.60	Professional		$15.73	$19.19	$24.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $7.36 / $7.36	Facility		$6.84	$7.36	$7.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $7.03 / $16.89	Professional		$4.24	$7.03	$16.89
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 $12.00 / $13.50 / $27.00	Professional		$12.00	$13.50	$27.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $41.00 / $801.00	Professional		$22.00	$41.00	$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 / $45.23	Professional		$41.00	$41.00	$45.23
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 $20.76 / $20.76 / $20.76	Professional		$20.76	$20.76	$20.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $19.64 / $28.78	Facility		$6.47	$19.64	$28.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $13.80 / $39.47	Professional		$12.00	$13.80	$39.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $20.76 / $20.76	Professional		$20.76	$20.76	$20.76
United Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $6.13	Facility		$6.13	$6.13	$6.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $6.40 / $20.67	Professional		$4.48	$6.40	$20.67