Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $36.34 / $63.75	Facility		$17.85	$36.34	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.35 / $41.19	Professional		$18.17	$18.35	$41.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $19.71 / $26.16	Facility		$15.90	$19.71	$26.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $18.17 / $62.51	Professional		$17.67	$18.17	$62.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $36.51 / $45.72	Facility		$33.15	$36.51	$45.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $18.51 / $52.63	Professional		$18.51	$18.51	$52.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $18.17	Facility		$17.14	$17.14	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $21.80 / $41.79	Professional		$16.35	$21.80	$41.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $115.71 / $128.49	Facility		$75.00	$115.71	$128.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $18.17 / $26.24	Facility		$17.14	$18.17	$26.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $39.29	Professional		$18.17	$18.17	$39.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $41.40 / $41.40	Professional		$41.40	$41.40	$41.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $19.98 / $30.89	Professional		$14.53	$19.98	$30.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $44.66	Professional		$18.17	$18.17	$44.66