Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $95.20 / $121.31	Facility		$45.77	$95.20	$121.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $45.77 / $79.98	Professional		$38.04	$45.77	$79.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $69.29 / $155.33	Facility		$46.87	$69.29	$155.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $46.87 / $91.53	Professional		$42.64	$46.87	$91.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $73.08	Facility		$46.87	$46.87	$73.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $44.19 / $109.59	Professional		$44.19	$44.19	$109.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $49.00 / $393.93	Professional		$30.00	$49.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $235.95 / $235.95	Facility		$75.00	$235.95	$235.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $46.87 / $65.45	Facility		$18.60	$46.87	$65.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $46.34 / $46.87	Professional		$10.61	$46.34	$46.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $54.34 / $54.34	Professional		$54.34	$54.34	$54.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $56.39 / $73.75	Professional		$43.38	$56.39	$73.75
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $94.70	Professional		$45.95	$45.95	$94.70