Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $46.16 / $151.62	Facility		$21.41	$46.16	$151.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $21.53 / $46.85	Professional		$13.26	$21.53	$46.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $23.30 / $30.69	Facility		$19.07	$23.30	$30.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.31 / $46.60	Professional		$13.80	$21.31	$46.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $17.89 / $47.33	Facility		$16.01	$17.89	$47.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $21.71 / $54.29	Professional		$21.71	$21.71	$54.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $20.11 / $21.31	Facility		$20.11	$20.11	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $25.57 / $48.29	Professional		$19.18	$25.57	$48.29
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 $20.11 / $21.31 / $30.31	Facility		$20.11	$21.31	$30.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $46.09	Professional		$21.31	$21.31	$46.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $25.18 / $25.18	Professional		$25.18	$25.18	$25.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $23.44 / $36.22	Professional		$17.05	$23.44	$36.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $43.50	Professional		$21.31	$21.31	$43.50