Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.11 / $102.33	Facility		$23.99	$33.11	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $38.02	Professional		$15.14	$15.49	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.62 / $40.74	Facility		$16.22	$18.62	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $44.67	Professional		$15.49	$16.22	$44.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $35.48	Facility		$16.98	$20.42	$35.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $46.77	Professional		$15.49	$20.42	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $15.49	Facility		$14.79	$14.79	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $35.48	Professional		$14.13	$16.98	$35.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.91 / $37.15	Facility		$15.49	$22.91	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $28.18	Professional		$15.14	$15.14	$28.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $25.70	Professional		$12.02	$16.60	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $51.29 / $51.29	Facility		$15.49	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $37.15	Professional		$15.49	$15.49	$37.15