Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $41.92 / $1,539.96	Facility		$18.29	$41.92	$1,539.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $21.82 / $691.41	Professional		$18.11	$21.82	$691.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $28.93 / $64.84	Facility		$18.57	$28.93	$64.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.11 / $43.72	Professional		$18.03	$18.11	$43.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $21.25 / $39.64	Facility		$19.01	$21.25	$39.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $50.93	Professional		$18.45	$18.45	$50.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $17.07 / $18.11	Facility		$17.07	$17.07	$18.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $21.73 / $41.04	Professional		$16.30	$21.73	$41.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $164.81 / $164.81	Facility		$75.00	$164.81	$164.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $18.11 / $25.90	Facility		$17.07	$18.11	$25.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $39.17	Professional		$18.11	$18.11	$39.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Professional		$26.71	$26.71	$26.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $19.92 / $30.78	Professional		$14.48	$19.92	$30.78
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $37.22	Professional		$18.11	$18.11	$37.22