Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $37.68 / $52.11	Facility		$20.99	$37.68	$52.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $21.83 / $52.11	Professional		$20.99	$21.83	$52.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $33.53 / $75.16	Facility		$19.84	$33.53	$75.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $20.99 / $53.08	Professional		$18.84	$20.99	$53.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $15.70 / $46.93	Facility		$14.05	$15.70	$46.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $60.82	Professional		$21.39	$21.39	$60.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $20.99	Facility		$19.80	$19.80	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $25.19 / $48.28	Professional		$18.89	$25.19	$48.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $102.05 / $104.95	Facility		$75.00	$102.05	$104.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $20.99 / $29.84	Facility		$19.80	$20.99	$29.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $45.40	Professional		$20.99	$20.99	$45.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $23.09 / $35.69	Professional		$16.79	$23.09	$35.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $43.26	Professional		$20.99	$20.99	$43.26