Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $54.14 / $148.88	Facility		$25.27	$54.14	$148.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $27.34 / $90.70	Professional		$25.27	$27.34	$90.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $29.01 / $36.39	Facility		$24.36	$29.01	$36.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $27.07 / $59.82	Professional		$25.27	$27.07	$59.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.20 / $66.79	Facility		$31.62	$37.20	$66.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $25.83 / $73.44	Professional		$25.83	$25.83	$73.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $23.84 / $25.27	Facility		$23.84	$23.84	$25.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $30.32 / $64.44	Professional		$22.74	$30.32	$64.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $134.55 / $134.55	Facility		$75.00	$134.55	$134.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $25.27 / $35.82	Facility		$23.84	$25.27	$35.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $54.66	Professional		$25.27	$25.27	$54.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $61.61 / $61.61	Professional		$61.61	$61.61	$61.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $27.79 / $42.96	Professional		$20.21	$27.79	$42.96
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $53.82	Professional		$25.27	$25.27	$53.82