Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $79.76 / $89.54	Facility		$39.86	$79.76	$89.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $40.27 / $86.72	Professional		$39.86	$40.27	$86.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $63.68 / $142.76	Facility		$40.88	$63.68	$142.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.88 / $87.65	Professional		$39.86	$39.88	$87.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $45.21 / $88.79	Facility		$39.15	$45.21	$88.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $40.61 / $100.41	Professional		$40.61	$40.61	$100.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $37.61 / $39.86	Facility		$37.61	$37.61	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $47.84 / $90.35	Professional		$35.88	$47.84	$90.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $193.05 / $199.35	Facility		$75.00	$193.05	$199.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $39.86 / $56.48	Facility		$37.61	$39.86	$56.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $86.24	Professional		$39.86	$39.86	$86.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $58.92 / $58.92	Professional		$58.92	$58.92	$58.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $43.86 / $67.78	Professional		$31.90	$43.86	$67.78
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $82.17	Professional		$39.86	$39.86	$82.17