Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $119.88 / $294.83	Facility		$53.78	$119.88	$294.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $53.78 / $82.79	Professional		$44.71	$53.78	$82.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $59.94 / $77.76	Facility		$49.57	$59.94	$77.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $55.08 / $107.57	Professional		$35.46	$55.08	$107.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $55.08 / $74.52	Facility		$54.43	$55.08	$74.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $36.13 / $97.61	Professional		$36.13	$36.13	$97.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $50.00 / $393.93	Professional		$31.00	$50.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $129.60 / $243.00	Facility		$75.00	$129.60	$243.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $55.08 / $76.91	Facility		$19.68	$55.08	$76.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $50.12 / $55.08	Professional		$9.90	$50.12	$55.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $110.12	Professional		$54.00	$54.00	$110.12