Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $109.89 / $150.88	Facility		$49.95	$109.89	$150.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $61.49 / $134.16	Professional		$49.95	$61.49	$134.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.99 / $63.75 / $78.62	Facility		$52.99	$63.75	$78.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $67.20 / $189.40	Professional		$49.95	$67.20	$189.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $33.63 / $100.00	Facility		$15.36	$33.63	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $127.25	Professional		$50.89	$50.89	$127.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $49.95	Facility		$47.12	$47.12	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $59.94 / $116.00	Professional		$44.96	$59.94	$116.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $273.30 / $273.30	Facility		$75.00	$273.30	$273.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $49.95 / $72.14	Facility		$47.12	$49.95	$72.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $108.04	Professional		$49.95	$49.95	$108.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $91.14 / $91.14	Professional		$91.14	$91.14	$91.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $54.95 / $84.92	Professional		$39.96	$54.95	$84.92
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $106.38	Professional		$49.95	$49.95	$106.38