Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $45.24 / $111.42	Facility		$21.48	$45.24	$111.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.84 / $69.59	Professional		$21.48	$22.84	$69.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $34.31 / $76.91	Facility		$22.79	$34.31	$76.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.62 / $56.18	Professional		$21.48	$22.62	$56.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $51.97 / $76.98	Facility		$45.74	$51.97	$76.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $22.34 / $63.52	Professional		$22.34	$22.34	$63.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $20.27 / $21.48	Facility		$20.27	$20.27	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $25.78 / $57.35	Professional		$19.32	$25.78	$57.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $132.80 / $132.80	Facility		$75.00	$132.80	$132.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $21.48 / $31.03	Facility		$20.27	$21.48	$31.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $46.46	Professional		$21.48	$21.48	$46.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $47.28 / $47.28	Professional		$47.28	$47.28	$47.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $23.63 / $36.52	Professional		$17.19	$23.63	$36.52
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $55.27	Professional		$21.48	$21.48	$55.27