Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $36.78 / $41.29	Facility		$18.14	$36.78	$41.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.32 / $37.96	Professional		$18.14	$18.32	$37.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $28.99 / $68.39	Facility		$19.18	$28.99	$68.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.39 / $40.43	Professional		$18.14	$18.39	$40.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $26.26 / $40.40	Facility		$25.36	$26.26	$40.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $18.48 / $48.73	Professional		$18.48	$18.48	$48.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $17.12 / $18.14	Facility		$17.12	$17.12	$18.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $21.78 / $41.13	Professional		$16.34	$21.78	$41.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.75 / $100.00	Facility		$75.00	$90.75	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $18.14 / $25.72	Facility		$17.12	$18.14	$25.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $39.26	Professional		$18.14	$18.14	$39.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $25.78 / $25.78	Professional		$25.78	$25.78	$25.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $19.97 / $30.86	Professional		$14.52	$19.97	$30.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $38.65	Professional		$18.14	$18.14	$38.65