Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $86.58 / $113.66	Facility		$43.19	$86.58	$113.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.72 / $113.66	Professional		$43.19	$43.72	$113.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $68.98 / $154.65	Facility		$44.37	$68.98	$154.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.29 / $121.43	Professional		$43.19	$43.29	$121.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $52.02 / $99.22	Facility		$44.22	$52.02	$99.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $44.01 / $110.05	Professional		$44.01	$44.01	$110.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $43.19	Facility		$40.75	$40.75	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $51.83 / $97.88	Professional		$38.86	$51.83	$97.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $216.90 / $216.90	Facility		$75.00	$216.90	$216.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $43.19 / $61.54	Facility		$40.75	$43.19	$61.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $93.42	Professional		$43.19	$43.19	$93.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $77.20 / $77.20	Professional		$77.20	$77.20	$77.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $47.51 / $73.42	Professional		$34.54	$47.51	$73.42
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $93.76	Professional		$43.19	$43.19	$93.76