Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $68.40 / $10,500.00	Facility		$31.40	$68.40	$10,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $42.69 / $9,969.29	Professional		$31.09	$42.69	$9,969.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $49.66 / $111.32	Facility		$31.96	$49.66	$111.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.18 / $105.83	Professional		$31.09	$31.18	$105.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $57.00 / $105.60	Facility		$48.45	$57.00	$105.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $88.61	Professional		$31.09	$31.09	$88.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $31.09	Facility		$29.33	$29.33	$31.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $37.31 / $71.51	Professional		$27.98	$37.31	$71.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $3,272.31 / $3,272.31	Facility		$75.00	$3,272.31	$3,272.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $31.09 / $69.16	Facility		$29.33	$31.09	$69.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $67.25	Professional		$31.09	$31.09	$67.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $84.76 / $84.76	Professional		$84.76	$84.76	$84.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $34.20 / $52.85	Professional		$24.87	$34.20	$52.85
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $110.62	Professional		$31.09	$31.09	$110.62