Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $42.53 / $86.04	Facility		$19.32	$42.53	$86.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.52 / $45.98	Professional		$19.32	$19.52	$45.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $23.48 / $27.84	Facility		$19.72	$23.48	$27.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.91 / $50.37	Professional		$19.32	$22.91	$50.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $24.37 / $48.10	Facility		$21.80	$24.37	$48.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $19.69 / $55.98	Professional		$19.69	$19.69	$55.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $19.32	Facility		$18.23	$18.23	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $23.20 / $44.46	Professional		$17.39	$23.20	$44.46
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 $18.23 / $19.32 / $27.55	Facility		$18.23	$19.32	$27.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $41.81	Professional		$19.32	$19.32	$41.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Professional		$31.24	$31.24	$31.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $21.26 / $32.86	Professional		$15.46	$21.26	$32.86
United Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $55.62 / $55.62	Facility		$52.78	$55.62	$55.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $39.72	Professional		$19.32	$19.32	$39.72