Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $31.62 / $40.74	Facility		$22.39	$31.62	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $35.48	Professional		$15.14	$15.14	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $39.81	Facility		$15.49	$17.78	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.49 / $48.98	Professional		$14.79	$15.49	$48.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $21.88 / $34.67	Facility		$19.50	$21.88	$34.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $45.71	Professional		$15.14	$19.50	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Facility		$14.13	$14.13	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $33.88	Professional		$13.49	$16.60	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.44 / $38.02	Facility		$15.49	$23.44	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.95	Professional		$15.49	$15.49	$19.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $26.30	Professional		$12.30	$16.98	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $34.67	Professional		$15.14	$15.14	$34.67