Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $32.40 / $42.73	Facility		$16.20	$32.40	$42.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.36 / $42.73	Professional		$16.20	$16.36	$42.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $18.64 / $58.00	Facility		$14.58	$18.64	$58.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $44.01	Professional		$16.20	$16.20	$44.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $21.31 / $36.97	Facility		$19.07	$21.31	$36.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $16.50 / $46.20	Professional		$16.50	$16.50	$46.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $15.28 / $16.20	Facility		$15.28	$15.28	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $19.44 / $37.26	Professional		$14.58	$19.44	$37.26
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 $15.28 / $16.20 / $23.17	Facility		$15.28	$16.20	$23.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $35.04	Professional		$16.20	$16.20	$35.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $29.03 / $29.03	Professional		$29.03	$29.03	$29.03
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $36.01	Professional		$16.20	$16.20	$36.01