Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $55.15 / $95.29	Facility		$25.46	$55.15	$95.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.71 / $71.73	Professional		$25.46	$25.71	$71.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $40.67 / $91.16	Facility		$27.08	$40.67	$91.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $30.77 / $67.64	Professional		$25.46	$30.77	$67.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $39.36 / $74.77	Facility		$33.75	$39.36	$74.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $25.94 / $73.76	Professional		$25.94	$25.94	$73.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $25.46	Facility		$24.02	$24.02	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.55 / $62.00	Professional		$22.91	$30.55	$62.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $181.85 / $181.85	Facility		$75.00	$181.85	$181.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $25.46 / $36.40	Facility		$24.02	$25.46	$36.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $55.07	Professional		$25.46	$25.46	$55.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $64.73 / $64.73	Professional		$64.73	$64.73	$64.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $28.00 / $43.28	Professional		$20.37	$28.00	$43.28
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $63.23	Professional		$25.46	$25.46	$63.23