Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $73.31 / $7,460.38	Facility		$34.04	$73.31	$7,460.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $35.42 / $179.42	Professional		$34.04	$35.42	$179.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $54.39 / $121.92	Facility		$36.11	$54.39	$121.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $36.65 / $103.31	Professional		$34.04	$36.65	$103.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $49.21 / $155.68	Facility		$41.83	$49.21	$155.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $100.00	Professional		$34.69	$34.69	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $32.11 / $34.04	Facility		$32.11	$32.11	$34.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $40.86 / $85.00	Professional		$30.65	$40.86	$85.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.93 / $342.40 / $342.40	Facility		$76.93	$342.40	$342.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $34.04 / $48.69	Facility		$32.11	$34.04	$48.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $73.65	Professional		$34.04	$34.04	$73.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $121.88 / $121.88	Professional		$121.88	$121.88	$121.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $37.45 / $57.88	Professional		$27.24	$37.45	$57.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $87.61	Professional		$34.04	$34.04	$87.61