Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $34.40 / $40.50	Facility		$16.54	$34.40	$40.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.71 / $30.99	Professional		$16.54	$16.71	$30.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $19.04 / $23.82	Facility		$16.23	$19.04	$23.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $18.04 / $51.71	Professional		$16.54	$18.04	$51.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $31.89 / $44.31	Facility		$30.12	$31.89	$44.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $42.13	Professional		$16.85	$16.85	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $16.54	Facility		$15.60	$15.60	$16.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $19.85 / $37.47	Professional		$14.89	$19.85	$37.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $16.54 / $23.65	Facility		$15.60	$16.54	$23.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $35.78	Professional		$16.54	$16.54	$35.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $18.98 / $18.98	Professional		$18.98	$18.98	$18.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $35.22	Professional		$16.54	$16.54	$35.22