Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $14.09 / $112.78	Facility		$12.62	$14.09	$112.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $19.23 / $112.78	Professional		$14.09	$19.23	$112.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $39.79 / $119.10	Facility		$2.20	$39.79	$119.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $24.98 / $66.30	Professional		$19.48	$24.98	$66.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.93 / $66.50 / $86.24	Facility		$38.93	$66.50	$86.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $35.64 / $98.80	Professional		$21.13	$35.64	$98.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $27.30 / $42.36	Facility		$26.74	$27.30	$42.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.21 / $55.78	Professional		$23.21	$23.21	$55.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $30.70 / $76.76	Professional		$26.32	$30.70	$76.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $182.85 / $182.85	Facility		$76.00	$182.85	$182.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $26.26 / $37.52	Facility		$14.61	$26.26	$37.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $27.30 / $31.89	Professional		$23.21	$27.30	$31.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $73.77 / $73.77	Professional		$73.77	$73.77	$73.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $19.37 / $39.44	Professional		$17.29	$19.37	$39.44