Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $70.79 / $114.82	Facility		$51.29	$70.79	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $70.79	Professional		$33.11	$33.88	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $89.13	Facility		$26.92	$38.90	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $63.10	Professional		$25.70	$27.54	$63.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $74.13	Facility		$37.15	$42.66	$74.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $102.33	Professional		$33.88	$43.65	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $33.88	Facility		$32.36	$32.36	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $77.62	Professional		$30.20	$37.15	$77.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $52.48 / $85.11	Facility		$33.88	$52.48	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $41.69	Professional		$33.88	$33.88	$41.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $58.88	Professional		$27.54	$38.02	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $97.72 / $97.72	Facility		$33.88	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $79.43	Professional		$33.88	$33.88	$79.43