Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $34.01 / $162.74	Professional		$29.04	$34.01	$162.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.50 / $92.58	Facility		$4.05	$4.50	$92.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $44.15 / $54.98	Professional		$24.00	$44.15	$54.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $30.49 / $61.10	Professional		$30.49	$30.49	$61.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $45.08	Facility		$36.06	$36.06	$45.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $67.50	Professional		$30.65	$36.06	$67.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $43.95 / $84.75	Professional		$37.67	$43.95	$84.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $258.29 / $258.29	Facility		$100.00	$258.29	$258.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $39.32 / $66.08	Facility		$36.06	$39.32	$66.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $45.08	Professional		$30.65	$36.06	$45.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $106.46 / $106.46	Professional		$106.46	$106.46	$106.46
United Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $20.82 / $37.02	Facility		$2.50	$20.82	$37.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $27.76 / $40.53	Professional		$23.14	$27.76	$40.53