Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $34.74 / $42.94	Facility		$19.52	$34.74	$42.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $19.72 / $672.00	Professional		$17.67	$19.72	$672.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $31.18 / $69.89	Facility		$18.29	$31.18	$69.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $18.02 / $38.17	Professional		$11.70	$18.02	$38.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $23.09 / $39.95	Facility		$20.66	$23.09	$39.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $19.89 / $49.73	Professional		$19.89	$19.89	$49.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $18.42 / $19.52	Facility		$18.42	$18.42	$19.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $23.42 / $44.24	Professional		$17.57	$23.42	$44.24
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 $18.42 / $19.52 / $27.55	Facility		$18.42	$19.52	$27.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $42.22	Professional		$19.52	$19.52	$42.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $21.35 / $21.35	Professional		$21.35	$21.35	$21.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $21.48 / $33.19	Professional		$15.62	$21.48	$33.19
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $39.84	Professional		$19.52	$19.52	$39.84