Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $35.02 / $56.78	Facility		$18.44	$35.02	$56.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $21.19 / $427.34	Professional		$18.44	$21.19	$427.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $19.80 / $26.55	Facility		$15.76	$19.80	$26.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $18.44 / $44.53	Professional		$17.51	$18.44	$44.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $19.26 / $41.98	Facility		$18.19	$19.26	$41.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $53.43	Professional		$18.79	$18.79	$53.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $17.39 / $18.44	Facility		$17.39	$17.39	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.13 / $42.00	Professional		$16.60	$22.13	$42.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $113.10 / $113.10	Facility		$75.00	$113.10	$113.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $18.44 / $26.17	Facility		$17.39	$18.44	$26.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $39.89	Professional		$18.44	$18.44	$39.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Professional		$38.57	$38.57	$38.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $20.28 / $31.35	Professional		$14.75	$20.28	$31.35
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $48.58	Professional		$18.44	$18.44	$48.58