Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $57.04 / $64.03	Facility		$28.68	$57.04	$64.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.97 / $62.36	Professional		$28.68	$28.97	$62.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $45.81 / $102.69	Facility		$29.41	$45.81	$102.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.68 / $72.48	Professional		$28.52	$28.68	$72.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $34.82 / $65.61	Facility		$29.60	$34.82	$65.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $29.22 / $82.15	Professional		$29.22	$29.22	$82.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $27.06 / $28.68	Facility		$27.06	$27.06	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $34.42 / $64.98	Professional		$25.81	$34.42	$64.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $142.65 / $143.40	Facility		$75.00	$142.65	$143.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $28.68 / $40.86	Facility		$27.06	$28.68	$40.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $62.03	Professional		$28.68	$28.68	$62.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $42.35 / $42.35	Professional		$42.35	$42.35	$42.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $31.55 / $48.76	Professional		$22.94	$31.55	$48.76
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $58.54	Professional		$28.68	$28.68	$58.54