Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $93.82 / $108.42	Facility		$49.28	$93.82	$108.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $49.77 / $72.52	Professional		$47.38	$49.77	$72.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $53.07 / $70.95	Facility		$42.22	$53.07	$70.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $48.69 / $103.13	Professional		$23.15	$48.69	$103.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.56 / $50.12 / $87.80	Facility		$45.56	$50.12	$87.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $50.21 / $100.00	Professional		$50.21	$50.21	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $46.49 / $49.28	Facility		$46.49	$46.49	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $59.14 / $108.42	Professional		$44.35	$59.14	$108.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $170.63 / $170.63	Facility		$75.00	$170.63	$170.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $49.28 / $69.79	Facility		$46.49	$49.28	$69.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $106.59	Professional		$49.28	$49.28	$106.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $42.83 / $42.83	Professional		$42.83	$42.83	$42.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $54.21 / $83.77	Professional		$39.42	$54.21	$83.77
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $100.59	Professional		$49.28	$49.28	$100.59