Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $68.34 / $76.91	Facility		$34.18	$68.34	$76.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.52 / $64.03	Professional		$34.18	$34.52	$64.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $54.60 / $122.38	Facility		$35.04	$54.60	$122.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $34.18 / $75.09	Professional		$34.17	$34.18	$75.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $32.61 / $62.13	Facility		$31.17	$32.61	$62.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $34.83 / $97.92	Professional		$34.83	$34.83	$97.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $32.25 / $34.18	Facility		$32.25	$32.25	$34.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $41.02 / $77.45	Professional		$30.76	$41.02	$77.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $165.35 / $170.90	Facility		$75.00	$165.35	$170.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $34.18 / $48.67	Facility		$32.25	$34.18	$48.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $73.93	Professional		$34.18	$34.18	$73.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $37.60 / $58.11	Professional		$27.34	$37.60	$58.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $70.25	Professional		$34.18	$34.18	$70.25