Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $43.65	Facility		$22.39	$30.90	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $43.65	Professional		$14.13	$15.14	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.62 / $34.67	Facility		$16.22	$18.62	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $54.95	Professional		$16.60	$17.38	$54.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $38.90	Facility		$30.20	$33.88	$38.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $41.69	Professional		$14.79	$19.05	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Facility		$14.13	$14.13	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $33.11	Professional		$13.49	$16.22	$33.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.99 / $39.81	Facility		$15.49	$23.99	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $29.51	Professional		$15.85	$15.85	$29.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $39.81	Professional		$14.79	$14.79	$39.81