Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $58.92 / $378.67	Facility		$11.47	$58.92	$378.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.47 / $87.95	Professional		$11.36	$11.47	$87.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $12.61 / $16.36	Facility		$10.51	$12.61	$16.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.68 / $39.42	Professional		$11.36	$11.68	$39.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $35.70 / $67.39	Facility		$29.57	$35.70	$67.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $11.58 / $35.06	Professional		$11.58	$11.58	$35.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $11.36	Facility		$10.72	$10.72	$11.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $13.63 / $30.33	Professional		$10.22	$13.63	$30.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $11.36 / $16.39	Facility		$10.72	$11.36	$16.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $24.57	Professional		$11.36	$11.36	$24.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $59.75 / $59.75	Professional		$59.75	$59.75	$59.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $12.49 / $19.30	Professional		$9.09	$12.49	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $30.51	Professional		$11.36	$11.36	$30.51