Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $62.70 / $87.30	Facility		$36.69	$62.70	$87.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.04 / $78.73	Professional		$36.69	$37.04	$78.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $38.92 / $52.83	Facility		$29.56	$38.92	$52.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $32.83 / $68.92	Professional		$29.36	$32.83	$68.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.85 / $79.69 / $100.00	Facility		$58.85	$79.69	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $37.38 / $98.50	Professional		$37.38	$37.38	$98.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $36.69	Facility		$34.61	$34.61	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $44.03 / $83.15	Professional		$33.02	$44.03	$83.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $124.77 / $124.77	Facility		$79.69	$124.77	$124.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $36.69 / $51.89	Facility		$34.61	$36.69	$51.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $79.36	Professional		$36.69	$36.69	$79.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $59.31 / $59.31 / $59.31	Professional		$59.31	$59.31	$59.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $94.40	Professional		$36.69	$36.69	$94.40