Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $54.00 / $144.01	Professional		$30.10	$54.00	$144.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.50 / $81.94	Facility		$4.05	$4.50	$81.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $39.07 / $48.66	Professional		$27.23	$39.07	$48.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $26.98 / $45.62	Professional		$26.98	$26.98	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $39.89	Facility		$31.91	$31.91	$39.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $60.00	Professional		$27.12	$31.91	$60.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $38.89 / $75.01	Professional		$33.34	$38.89	$75.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $228.57 / $228.57	Facility		$100.00	$228.57	$228.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $39.72 / $58.45	Facility		$32.86	$39.72	$58.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $44.28	Professional		$27.12	$31.91	$44.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $94.20 / $94.20	Professional		$94.20	$94.20	$94.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $23.75 / $42.66	Professional		$20.48	$23.75	$42.66