Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $2,195.40 / $7,769.14	Facility		$29.67	$2,195.40	$7,769.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $1,511.88 / $4,839.30	Professional		$29.38	$1,511.88	$4,839.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.50 / $46.93 / $110.70	Facility		$30.50	$46.93	$110.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.38 / $64.26	Professional		$29.24	$29.38	$64.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.45 / $32.76 / $63.96	Facility		$28.45	$32.76	$63.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $77.91	Professional		$29.38	$29.38	$77.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $27.72 / $29.38	Facility		$27.72	$27.72	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $35.26 / $67.56	Professional		$26.44	$35.26	$67.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $139.05 / $146.90	Facility		$75.00	$139.05	$146.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $29.38 / $41.78	Facility		$27.72	$29.38	$41.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $63.55	Professional		$29.38	$29.38	$63.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $35.81 / $35.81	Professional		$35.81	$35.81	$35.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $32.32 / $49.95	Professional		$23.50	$32.32	$49.95
United Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Facility		$29.38	$29.38	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $31.14 / $60.80	Professional		$29.38	$31.14	$60.80