Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $82.12 / $107.05	Facility		$41.11	$82.12	$107.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.52 / $107.05	Professional		$41.11	$41.52	$107.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $65.67 / $147.19	Facility		$42.15	$65.67	$147.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.11 / $95.94	Professional		$41.06	$41.11	$95.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $51.23 / $93.48	Facility		$45.84	$51.23	$93.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $102.80	Professional		$41.11	$41.11	$102.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $38.78 / $41.11	Facility		$38.78	$38.78	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $49.33 / $93.16	Professional		$37.00	$49.33	$93.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $204.30 / $205.55	Facility		$75.00	$204.30	$205.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $41.11 / $58.32	Facility		$38.78	$41.11	$58.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $88.92	Professional		$41.11	$41.11	$88.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $72.72 / $72.72	Professional		$72.72	$72.72	$72.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $45.22 / $69.89	Professional		$32.89	$45.22	$69.89
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $87.56	Professional		$41.11	$41.11	$87.56