Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $18.34 / $544.48	Facility		$8.75	$18.34	$544.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.60 / $2,521.81	Professional		$8.75	$10.60	$2,521.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $13.98 / $32.97	Facility		$9.27	$13.98	$32.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.17 / $21.22	Professional		$8.75	$9.17	$21.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $10.57 / $20.80	Facility		$8.98	$10.57	$20.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $25.08	Professional		$8.92	$8.92	$25.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $8.26 / $8.75	Facility		$8.26	$8.26	$8.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.50 / $19.82	Professional		$7.88	$10.50	$19.82
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 $8.26 / $8.75 / $12.40	Facility		$8.26	$8.75	$12.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $18.93	Professional		$8.75	$8.75	$18.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.50 / $14.50	Professional		$14.50	$14.50	$14.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $9.63 / $14.88	Professional		$7.00	$9.63	$14.88
United Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $26.82 / $26.82	Facility		$25.45	$26.82	$26.82
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $18.48	Professional		$8.75	$8.75	$18.48