Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.12 / $33.11	Facility		$18.20	$25.12	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $28.84	Professional		$12.02	$12.02	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $31.62	Facility		$12.59	$14.45	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $35.48	Professional		$12.02	$12.59	$35.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.45 / $28.18	Facility		$12.30	$14.45	$28.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $36.31	Professional		$12.02	$15.85	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $12.02	Facility		$11.48	$11.48	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $26.92	Professional		$10.96	$13.49	$26.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.62 / $30.20	Facility		$12.30	$18.62	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $14.79	Professional		$12.30	$12.30	$14.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $20.89	Professional		$9.77	$13.49	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $33.11 / $33.11	Facility		$12.02	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $28.18	Professional		$12.02	$12.02	$28.18