Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $24.28 / $27.26	Facility		$12.14	$24.28	$27.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.26 / $26.67	Professional		$12.14	$12.26	$26.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $19.39 / $43.47	Facility		$12.45	$19.39	$43.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $34.18	Professional		$12.14	$12.14	$34.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $14.49 / $27.95	Facility		$12.32	$14.49	$27.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $34.36	Professional		$12.37	$12.37	$34.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $12.14	Facility		$11.45	$11.45	$12.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $14.57 / $27.51	Professional		$10.93	$14.57	$27.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $12.14 / $17.36	Facility		$11.45	$12.14	$17.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $26.26	Professional		$12.14	$12.14	$26.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $18.12 / $18.12	Professional		$18.12	$18.12	$18.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.36 / $20.64	Professional		$9.71	$13.36	$20.64
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $24.95	Professional		$12.14	$12.14	$24.95