Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $80.76 / $143.55	Facility		$39.45	$80.76	$143.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $40.79 / $143.55	Professional		$39.45	$40.79	$143.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.34 / $43.79 / $56.81	Facility		$36.34	$43.79	$56.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $40.38 / $116.87	Professional		$39.45	$40.38	$116.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $83.62 / $179.64	Facility		$71.50	$83.62	$179.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $42.80 / $107.02	Professional		$42.80	$42.80	$107.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $37.21 / $39.45	Facility		$37.21	$37.21	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $47.34 / $100.60	Professional		$35.51	$47.34	$100.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.40 / $430.71 / $716.58	Facility		$219.40	$430.71	$716.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $39.45 / $56.41	Facility		$37.21	$39.45	$56.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $85.33	Professional		$39.45	$39.45	$85.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $97.51 / $97.51	Professional		$97.51	$97.51	$97.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $43.39 / $67.06	Professional		$31.56	$43.39	$67.06
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $101.50	Professional		$39.45	$39.45	$101.50