Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $35.18 / $39.49	Facility		$16.84	$35.18	$39.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.01 / $36.72	Professional		$16.84	$17.01	$36.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $26.90 / $63.45	Facility		$17.87	$26.90	$63.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.59 / $38.85	Professional		$16.84	$17.59	$38.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $24.41 / $38.36	Facility		$23.58	$24.41	$38.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $17.16 / $46.61	Professional		$17.16	$17.16	$46.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $15.89 / $16.84	Facility		$15.89	$15.89	$16.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $20.21 / $38.15	Professional		$15.16	$20.21	$38.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $16.84 / $23.88	Facility		$15.89	$16.84	$23.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $36.42	Professional		$16.84	$16.84	$36.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $18.53 / $28.63	Professional		$13.47	$18.53	$28.63
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $37.44	Professional		$16.84	$16.84	$37.44