Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $40.06 / $174.80	Facility		$19.84	$40.06	$174.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $20.04 / $57.35	Professional		$19.84	$20.04	$57.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $21.05 / $28.57	Facility		$15.99	$21.05	$28.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $19.84 / $57.98	Professional		$17.23	$19.84	$57.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $41.03 / $68.06	Facility		$36.71	$41.03	$68.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $61.22	Professional		$21.53	$21.53	$61.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $18.72 / $19.84	Facility		$18.72	$18.72	$19.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $23.81 / $45.63	Professional		$17.86	$23.81	$45.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $19.84 / $28.66	Facility		$18.72	$19.84	$28.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $42.91	Professional		$19.84	$19.84	$42.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $38.97 / $38.97	Professional		$38.97	$38.97	$38.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $21.83 / $33.72	Professional		$15.87	$21.83	$33.72
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $54.37	Professional		$19.84	$19.84	$54.37