Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $56.04 / $202.86	Facility		$25.62	$56.04	$202.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $33.90 / $110.54	Professional		$25.37	$33.90	$110.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $29.20 / $36.53	Facility		$25.22	$29.20	$36.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $28.02 / $117.38	Professional		$25.37	$28.02	$117.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $81.80 / $100.00	Facility		$68.80	$81.80	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $27.52 / $79.22	Professional		$27.52	$27.52	$79.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $25.37	Facility		$23.93	$23.93	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $30.44 / $64.69	Professional		$22.83	$30.44	$64.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $147.61 / $147.61	Facility		$127.90	$147.61	$147.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $25.37 / $36.28	Facility		$23.93	$25.37	$36.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $54.88	Professional		$25.37	$25.37	$54.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $69.80 / $69.80	Professional		$69.80	$69.80	$69.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $27.91 / $43.13	Professional		$20.30	$27.91	$43.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $65.28	Professional		$25.37	$25.37	$65.28