Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $22.78 / $40.92	Facility		$13.06	$22.78	$40.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.19 / $40.92	Professional		$13.06	$13.19	$40.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $13.86 / $18.80	Facility		$10.52	$13.86	$18.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $13.06 / $44.56	Professional		$11.39	$13.06	$44.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $28.14 / $42.74	Facility		$27.47	$28.14	$42.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $14.17 / $40.29	Professional		$14.17	$14.17	$40.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $13.06	Facility		$12.32	$12.32	$13.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.67 / $32.00	Professional		$11.75	$15.67	$32.00
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 $12.32 / $13.06 / $18.86	Facility		$12.32	$13.06	$18.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $28.25	Professional		$13.06	$13.06	$28.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Professional		$27.79	$27.79	$27.79
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $37.03	Professional		$13.06	$13.06	$37.03