Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $25.13 / $76.26	Facility		$12.06	$25.13	$76.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.18 / $25.15	Professional		$12.06	$12.18	$25.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $12.79 / $17.37	Facility		$9.72	$12.79	$17.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $12.06 / $28.52	Professional		$10.79	$12.06	$28.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $25.47 / $32.15	Facility		$22.59	$25.47	$32.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $34.52	Professional		$12.28	$12.28	$34.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $12.05	Facility		$11.37	$11.37	$12.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $14.47 / $27.33	Professional		$10.85	$14.47	$27.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $12.05 / $16.98	Facility		$11.37	$12.05	$16.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.06 / $26.09	Professional		$12.05	$12.06	$26.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $18.51 / $18.51	Professional		$18.51	$18.51	$18.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.26 / $20.49	Professional		$9.64	$13.26	$20.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $25.52	Professional		$12.06	$12.06	$25.52