Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $71.81 / $80.63	Facility		$35.54	$71.81	$80.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $61.69	Professional		$35.54	$35.90	$61.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $56.78 / $127.29	Facility		$36.81	$56.78	$127.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $78.94	Professional		$35.54	$35.90	$78.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $35.76 / $60.16	Facility		$32.75	$35.76	$60.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $90.57	Professional		$36.22	$36.22	$90.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $35.54	Facility		$33.54	$33.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $42.66 / $80.56	Professional		$32.00	$42.66	$80.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $169.95 / $177.75	Facility		$75.00	$169.95	$177.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $35.54 / $50.51	Facility		$33.54	$35.54	$50.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $76.89	Professional		$35.54	$35.54	$76.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $40.60 / $40.60	Professional		$40.60	$40.60	$40.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $39.11 / $60.44	Professional		$28.44	$39.11	$60.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $76.48	Professional		$35.54	$35.54	$76.48