Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $73.48 / $82.49	Facility		$36.77	$73.48	$82.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $37.13 / $76.27	Professional		$36.77	$37.13	$76.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $58.73 / $138.55	Facility		$38.32	$58.73	$138.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.77 / $80.76	Professional		$36.74	$36.77	$80.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $43.83 / $79.93	Facility		$39.22	$43.83	$79.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $37.46 / $100.00	Professional		$37.46	$37.46	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $36.77	Facility		$34.68	$34.68	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $44.12 / $83.33	Professional		$33.09	$44.12	$83.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $173.75 / $183.85	Facility		$75.00	$173.75	$183.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $36.77 / $52.34	Facility		$34.68	$36.77	$52.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $79.53	Professional		$36.77	$36.77	$79.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $51.81 / $51.81	Professional		$51.81	$51.81	$51.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $40.44 / $62.50	Professional		$29.41	$40.44	$62.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $75.58	Professional		$36.77	$36.77	$75.58