Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $55.72 / $116.44	Facility		$25.59	$55.72	$116.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $31.48 / $64.95	Professional		$25.59	$31.48	$64.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $29.45 / $36.85	Facility		$25.07	$29.45	$36.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $27.86 / $65.70	Professional		$25.59	$27.86	$65.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $34.57 / $54.32	Facility		$29.99	$34.57	$54.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $69.47	Professional		$26.07	$26.07	$69.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $25.59	Facility		$24.14	$24.14	$25.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $30.71 / $57.99	Professional		$23.03	$30.71	$57.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.44 / $108.44	Facility		$75.00	$108.44	$108.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $25.59 / $36.59	Facility		$24.14	$25.59	$36.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $55.35	Professional		$25.59	$25.59	$55.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $43.33 / $43.33	Professional		$43.33	$43.33	$43.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $28.15 / $43.50	Professional		$20.47	$28.15	$43.50
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $54.50	Professional		$25.59	$25.59	$54.50