Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $49.27 / $3,193.55	Facility		$24.00	$49.27	$3,193.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.37 / $11,191.32	Professional		$24.00	$24.37	$11,191.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $38.34 / $90.43	Facility		$25.17	$38.34	$90.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.13 / $53.03	Professional		$24.00	$24.13	$53.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $30.19 / $54.74	Facility		$29.03	$30.19	$54.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $68.73	Professional		$24.45	$24.45	$68.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $22.64 / $24.00	Facility		$22.64	$22.64	$24.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $28.80 / $52.80	Professional		$21.60	$28.80	$52.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $120.00 / $121.85	Facility		$75.00	$120.00	$121.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $24.00 / $33.97	Facility		$22.64	$24.00	$33.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $51.91	Professional		$24.00	$24.00	$51.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $38.50 / $38.50	Professional		$38.50	$38.50	$38.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $26.40 / $40.79	Professional		$19.20	$26.40	$40.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $49.46	Professional		$24.00	$24.00	$49.46