Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $49.02 / $67.78	Facility		$24.50	$49.02	$67.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $24.73 / $155.60	Professional		$7.74	$24.73	$155.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $39.13 / $87.72	Facility		$25.12	$39.13	$87.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $24.51 / $53.87	Professional		$11.28	$24.51	$53.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $24.07 / $57.54	Facility		$6.69	$24.07	$57.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $24.96 / $62.41	Professional		$24.96	$24.96	$62.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $24.50	Facility		$23.11	$23.11	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $29.40 / $53.90	Professional		$22.05	$29.40	$53.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $122.50 / $125.10	Facility		$75.00	$122.50	$125.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $24.50 / $34.90	Facility		$23.11	$24.50	$34.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $52.99	Professional		$24.50	$24.50	$52.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $6.85 / $6.85	Professional		$6.85	$6.85	$6.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $26.95 / $41.65	Professional		$19.60	$26.95	$41.65
United Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $47.46	Professional		$24.50	$24.50	$47.46