Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $79.23 / $88.95	Facility		$39.54	$79.23	$88.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $39.94 / $68.06	Professional		$33.64	$39.94	$68.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $43.54 / $56.94	Facility		$35.65	$43.54	$56.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.61 / $111.68	Professional		$39.54	$39.61	$111.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $73.80 / $124.42	Facility		$64.40	$73.80	$124.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $107.27	Professional		$42.90	$42.90	$107.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $39.54	Facility		$37.29	$37.29	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $47.45 / $90.94	Professional		$35.59	$47.45	$90.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $360.55 / $360.55	Facility		$86.40	$360.55	$360.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $39.54 / $56.54	Facility		$37.29	$39.54	$56.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $85.53	Professional		$39.54	$39.54	$85.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $22.85 / $22.85	Professional		$22.85	$22.85	$22.85
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $81.48	Professional		$39.54	$39.54	$81.48