Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $130.44 / $957.06	Facility		$25.33	$130.44	$957.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $120.66 / $957.06	Professional		$25.33	$120.66	$957.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $46.82 / $123.02	Facility		$26.94	$46.82	$123.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $119.47 / $463.29	Professional		$25.33	$119.47	$463.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $38.93 / $578.27	Facility		$33.09	$38.93	$578.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $77.75	Professional		$25.81	$25.81	$77.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $23.90 / $25.33	Facility		$23.90	$23.90	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $30.40 / $67.63	Professional		$22.80	$30.40	$67.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.23 / $1,826.45 / $1,826.45	Facility		$363.23	$1,826.45	$1,826.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $25.33 / $36.22	Facility		$23.90	$25.33	$36.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $54.79	Professional		$25.33	$25.33	$54.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $650.22 / $650.22 / $650.22	Professional		$650.22	$650.22	$650.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $27.86 / $43.06	Professional		$20.26	$27.86	$43.06
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $26.85 / $68.03	Professional		$25.33	$26.85	$68.03