Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $44.12 / $171.58	Facility		$20.92	$44.12	$171.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $20.92 / $51.27	Professional		$16.38	$20.92	$51.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $23.64 / $29.84	Facility		$19.85	$23.64	$29.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $22.06 / $48.49	Professional		$11.24	$22.06	$48.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $22.52 / $48.96	Facility		$20.14	$22.52	$48.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $21.11 / $60.02	Professional		$21.11	$21.11	$60.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $20.72	Facility		$19.54	$19.54	$20.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $24.86 / $46.96	Professional		$18.64	$24.86	$46.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $20.72 / $29.39	Facility		$19.54	$20.72	$29.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $44.82	Professional		$20.72	$20.72	$44.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $22.79 / $35.22	Professional		$16.57	$22.79	$35.22
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $53.31	Professional		$20.72	$20.72	$53.31