Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $26.68 / $31.26	Facility		$13.29	$26.68	$31.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.48 / $337.00	Professional		$13.29	$13.48	$337.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $21.23 / $50.08	Facility		$13.91	$21.23	$50.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.34 / $31.50	Professional		$13.29	$13.34	$31.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $15.24 / $29.89	Facility		$12.95	$15.24	$29.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $37.54	Professional		$13.54	$13.54	$37.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $12.54 / $13.29	Facility		$12.54	$12.54	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $15.95 / $30.12	Professional		$11.96	$15.95	$30.12
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 $12.54 / $13.29 / $19.00	Facility		$12.54	$13.29	$19.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $28.75	Professional		$13.29	$13.29	$28.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $14.62 / $22.59	Professional		$10.63	$14.62	$22.59
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $27.13	Professional		$13.29	$13.29	$27.13