Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $62.66 / $75.19	Facility		$31.27	$62.66	$75.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $37.90 / $11,159.30	Professional		$31.27	$37.90	$11,159.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.68 / $49.95 / $117.82	Facility		$32.68	$49.95	$117.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.33 / $77.31	Professional		$31.27	$31.33	$77.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $38.04 / $70.23	Facility		$36.03	$38.04	$70.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $31.86 / $90.59	Professional		$31.86	$31.86	$90.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $31.27	Facility		$29.50	$29.50	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $37.52 / $70.86	Professional		$28.14	$37.52	$70.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $152.69 / $156.35	Facility		$75.00	$152.69	$156.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $31.27 / $44.54	Facility		$29.50	$31.27	$44.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $67.64	Professional		$31.27	$31.27	$67.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $51.09 / $51.09	Professional		$51.09	$51.09	$51.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $34.40 / $53.16	Professional		$25.02	$34.40	$53.16
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $77.09	Professional		$31.27	$31.27	$77.09