Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $30.22 / $78.38	Facility		$15.11	$30.22	$78.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.26 / $31.70	Professional		$15.11	$15.26	$31.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $24.14 / $54.10	Facility		$15.49	$24.14	$54.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.11 / $33.15	Professional		$15.08	$15.11	$33.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $16.47 / $33.90	Facility		$14.37	$16.47	$33.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $40.72	Professional		$15.40	$15.40	$40.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $14.26 / $15.11	Facility		$14.26	$14.26	$15.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $18.13 / $34.24	Professional		$13.60	$18.13	$34.24
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 $14.26 / $15.11 / $21.58	Facility		$14.26	$15.11	$21.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $32.68	Professional		$15.11	$15.11	$32.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $21.54 / $21.54	Professional		$21.54	$21.54	$21.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $16.62 / $25.69	Professional		$12.09	$16.62	$25.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $30.84	Professional		$15.11	$15.11	$30.84