Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $79.66 / $103.88	Facility		$39.83	$79.66	$103.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $40.22 / $103.88	Professional		$39.83	$40.22	$103.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $63.60 / $142.58	Facility		$40.83	$63.60	$142.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $103.23	Professional		$39.83	$39.83	$103.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $45.60 / $91.70	Facility		$38.76	$45.60	$91.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $40.58 / $101.47	Professional		$40.58	$40.58	$101.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $37.57 / $39.83	Facility		$37.57	$37.57	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $47.80 / $90.26	Professional		$35.85	$47.80	$90.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $199.15 / $199.35	Facility		$75.00	$199.15	$199.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $39.83 / $56.48	Facility		$37.57	$39.83	$56.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $86.15	Professional		$39.83	$39.83	$86.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Professional		$70.56	$70.56	$70.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $43.81 / $67.70	Professional		$31.86	$43.81	$67.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $82.82	Professional		$39.83	$39.83	$82.82