Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.90 / $40.74	Facility		$22.39	$30.90	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $38.02	Professional		$15.14	$15.14	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.20 / $39.81	Facility		$15.85	$18.20	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $43.65	Professional		$15.14	$15.49	$43.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $34.67	Facility		$15.14	$18.20	$34.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $45.71	Professional		$15.14	$19.50	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Facility		$14.13	$14.13	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $34.67	Professional		$13.49	$16.60	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.91 / $38.02	Facility		$15.14	$22.91	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $28.18	Professional		$15.14	$15.14	$28.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $25.70	Professional		$12.02	$16.60	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $51.29 / $51.29	Facility		$15.14	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $34.67	Professional		$15.14	$15.14	$34.67