Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $100.80 / $128.44	Facility		$48.46	$100.80	$128.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $48.46 / $85.62	Professional		$40.28	$48.46	$85.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $54.00 / $70.06	Facility		$44.66	$54.00	$70.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $49.62 / $96.91	Professional		$48.65	$49.62	$96.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $84.07	Facility		$49.62	$49.62	$84.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $54.53 / $134.80	Professional		$54.53	$54.53	$134.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $77.00 / $393.93	Professional		$48.00	$77.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $206.30 / $218.93	Facility		$75.00	$206.30	$218.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $49.62 / $69.30	Facility		$32.15	$49.62	$69.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $49.62 / $58.49	Professional		$24.75	$49.62	$58.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $58.17 / $58.17	Professional		$58.17	$58.17	$58.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $63.25 / $82.71	Professional		$48.65	$63.25	$82.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $101.80	Professional		$48.65	$48.65	$101.80