Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $47.63 / $20,871.55	Facility		$21.52	$47.63	$20,871.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $23.86 / $15,225.00	Professional		$21.31	$23.86	$15,225.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $34.04 / $80.29	Facility		$22.61	$34.04	$80.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.06 / $50.12	Professional		$21.31	$22.06	$50.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $33.70 / $48.67	Facility		$30.15	$33.70	$48.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $21.71 / $61.22	Professional		$21.71	$21.71	$61.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.10 / $21.31	Facility		$20.10	$20.10	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $25.57 / $48.29	Professional		$19.18	$25.57	$48.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $105.80 / $106.55	Facility		$75.00	$105.80	$106.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $21.31 / $30.31	Facility		$20.10	$21.31	$30.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $46.09	Professional		$21.31	$21.31	$46.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $23.44 / $36.22	Professional		$17.05	$23.44	$36.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $45.39	Professional		$21.31	$21.31	$45.39