Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $48.58 / $54.55	Facility		$23.61	$48.58	$54.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $24.53 / $54.55	Professional		$23.61	$24.53	$54.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $26.21 / $34.00	Facility		$21.86	$26.21	$34.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $24.29 / $57.30	Professional		$23.61	$24.29	$57.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $38.88 / $63.55	Facility		$36.38	$38.88	$63.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.05 / $68.38	Professional		$24.05	$24.05	$68.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $22.27 / $23.61	Facility		$22.27	$22.27	$23.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $28.33 / $53.50	Professional		$21.25	$28.33	$53.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $260.70 / $260.70	Facility		$75.00	$260.70	$260.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $23.61 / $33.76	Facility		$22.27	$23.61	$33.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $51.07	Professional		$23.61	$23.61	$51.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $37.06 / $37.06	Professional		$37.06	$37.06	$37.06
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $60.75	Professional		$23.61	$23.61	$60.75