Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $467.04 / $1,660.69	Facility		$30.31	$467.04	$1,660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $43.51 / $486.09	Professional		$30.01	$43.51	$486.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $47.93 / $107.45	Facility		$30.61	$47.93	$107.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $30.01 / $64.40	Professional		$14.68	$30.01	$64.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $31.37 / $55.35	Facility		$28.52	$31.37	$55.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $76.47	Professional		$30.58	$30.58	$76.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $30.01	Facility		$28.31	$28.31	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $36.01 / $66.02	Professional		$27.01	$36.01	$66.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $134.90 / $150.05	Facility		$75.00	$134.90	$150.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $30.01 / $42.71	Facility		$28.31	$30.01	$42.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $64.91	Professional		$30.01	$30.01	$64.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $26.98 / $26.98	Professional		$26.98	$26.98	$26.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $33.01 / $51.02	Professional		$24.01	$33.01	$51.02
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $61.68	Professional		$30.01	$30.01	$61.68