Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $22.08 / $57.26	Facility		$11.04	$22.08	$57.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.85 / $4,407.00	Professional		$11.04	$13.85	$4,407.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $17.63 / $39.53	Facility		$11.32	$17.63	$39.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.04 / $44.21	Professional		$11.03	$11.04	$44.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $40.78 / $69.09	Facility		$24.77	$40.78	$69.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $32.08	Professional		$11.25	$11.25	$32.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $10.41 / $11.04	Facility		$10.41	$10.41	$11.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $13.25 / $25.39	Professional		$9.94	$13.25	$25.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $95.00 / $100.00	Facility		$75.00	$95.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $11.04 / $15.61	Facility		$10.41	$11.04	$15.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $23.88	Professional		$11.04	$11.04	$23.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $33.81 / $33.81	Professional		$33.81	$33.81	$33.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $12.14 / $18.77	Professional		$8.83	$12.14	$18.77
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $28.41	Professional		$11.04	$11.04	$28.41