Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $34.54 / $182.81	Facility		$15.33	$34.54	$182.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.87 / $45.25	Professional		$15.33	$15.87	$45.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $17.70 / $22.08	Facility		$15.54	$17.70	$22.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $17.27 / $48.66	Professional		$15.33	$17.27	$48.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $27.00 / $42.31	Facility		$25.50	$27.00	$42.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $44.38	Professional		$15.61	$15.61	$44.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $15.32	Facility		$14.46	$14.46	$15.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.39 / $39.09	Professional		$13.80	$18.39	$39.09
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 $14.46 / $15.32 / $21.92	Facility		$14.46	$15.32	$21.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.33 / $33.15	Professional		$15.32	$15.33	$33.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $30.73 / $30.73	Professional		$30.73	$30.73	$30.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $16.86 / $26.05	Professional		$12.26	$16.86	$26.05
United Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $55.11 / $55.11	Facility		$52.29	$55.11	$55.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $37.79	Professional		$15.33	$15.33	$37.79