Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $24.14 / $4,355.39	Facility		$12.07	$24.14	$4,355.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.55 / $5,525.77	Professional		$12.07	$12.55	$5,525.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $19.28 / $45.48	Facility		$12.52	$19.28	$45.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.07 / $30.99	Professional		$12.00	$12.07	$30.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $14.27 / $26.44	Facility		$12.77	$14.27	$26.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $30.76	Professional		$12.30	$12.30	$30.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $12.07	Facility		$11.39	$11.39	$12.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $14.48 / $27.35	Professional		$10.86	$14.48	$27.35
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 $11.39 / $12.07 / $16.98	Facility		$11.39	$12.07	$16.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $26.11	Professional		$12.07	$12.07	$26.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $16.04 / $16.04	Professional		$16.04	$16.04	$16.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $13.28 / $20.52	Professional		$9.66	$13.28	$20.52
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $24.81	Professional		$12.07	$12.07	$24.81