Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $203.87 / $952.00	Facility		$36.20	$203.87	$952.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.47 / $124.01	Professional		$30.17	$30.47	$124.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $32.01 / $43.44	Facility		$24.62	$32.01	$43.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $29.68 / $60.14	Professional		$27.36	$29.68	$60.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $45.72 / $69.81	Facility		$40.90	$45.72	$69.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $30.74 / $87.40	Professional		$30.74	$30.74	$87.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $28.46 / $30.17	Facility		$28.46	$28.46	$30.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $36.20 / $68.37	Professional		$27.15	$36.20	$68.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $181.25 / $181.25	Facility		$75.00	$181.25	$181.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $30.17 / $42.71	Facility		$28.46	$30.17	$42.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $65.26	Professional		$30.17	$30.17	$65.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $84.25 / $84.25	Professional		$84.25	$84.25	$84.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $33.18 / $51.28	Professional		$24.13	$33.18	$51.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $74.39	Professional		$30.17	$30.17	$74.39