Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $114.82 / $288.40	Facility		$45.71	$114.82	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $56.23	Professional		$43.65	$44.67	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $48.98 / $70.79	Facility		$0.02	$48.98	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $89.13	Professional		$44.67	$46.77	$89.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $52.48 / $66.07	Facility		$46.77	$52.48	$66.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $120.23	Professional		$44.67	$56.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $117.49	Professional		$36.31	$61.66	$117.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $66.07 / $125.89	Facility		$17.38	$66.07	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $46.77	Professional		$30.20	$46.77	$46.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $74.13	Professional		$43.65	$56.23	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $100.00	Professional		$45.71	$45.71	$100.00