Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $61.40 / $133.62	Facility		$28.61	$61.40	$133.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $30.85 / $133.62	Professional		$28.61	$30.85	$133.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $45.70 / $102.44	Facility		$30.35	$45.70	$102.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $30.80 / $255.39	Professional		$28.61	$30.80	$255.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $83.20 / $139.68	Facility		$57.30	$83.20	$139.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $31.02 / $88.20	Professional		$31.02	$31.02	$88.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $28.61	Facility		$26.99	$26.99	$28.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $34.33 / $72.95	Professional		$25.75	$34.33	$72.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $255.00 / $255.00	Facility		$168.40	$255.00	$255.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $28.61 / $40.90	Facility		$26.99	$28.61	$40.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $61.88	Professional		$28.61	$28.61	$61.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $90.77 / $90.77	Professional		$90.77	$90.77	$90.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $31.47 / $48.64	Professional		$22.89	$31.47	$48.64
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $96.21	Professional		$28.61	$28.61	$96.21