Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $31.42 / $81.52	Facility		$15.61	$31.42	$81.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.77 / $40.32	Professional		$15.61	$15.77	$40.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $24.93 / $55.89	Facility		$16.00	$24.93	$55.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.61 / $41.25	Professional		$15.55	$15.61	$41.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $21.35 / $35.79	Facility		$18.14	$21.35	$35.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $45.12	Professional		$15.91	$15.91	$45.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $15.61	Facility		$14.73	$14.73	$15.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $18.73 / $35.38	Professional		$14.05	$18.73	$35.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $15.61 / $22.04	Facility		$14.73	$15.61	$22.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $33.76	Professional		$15.61	$15.61	$33.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Professional		$27.38	$27.38	$27.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.17 / $26.54	Professional		$12.49	$17.17	$26.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $33.25	Professional		$15.61	$15.61	$33.25