Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $20.18 / $113.26	Professional		$14.15	$20.18	$113.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.56 / $66.97	Facility		$2.31	$2.56	$66.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $32.15 / $46.18	Professional		$25.65	$32.15	$46.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $46.48 / $46.48	Facility		$46.48	$46.48	$46.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $21.22 / $37.29	Professional		$20.19	$21.22	$37.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $28.37 / $33.24	Facility		$19.67	$28.37	$33.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $28.37 / $51.75	Professional		$24.11	$28.37	$51.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $27.48 / $52.99	Professional		$23.55	$27.48	$52.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $204.80 / $204.80	Facility		$76.00	$204.80	$204.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $28.37 / $39.25	Facility		$12.65	$28.37	$39.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $28.37 / $30.67	Professional		$24.11	$28.37	$30.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $74.09 / $74.09	Professional		$74.09	$74.09	$74.09
United Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $19.57 / $34.81	Professional		$15.46	$19.57	$34.81