Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $23.10 / $29.42	Facility		$11.54	$23.10	$29.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $12.00 / $1,747.50	Professional		$11.54	$12.00	$1,747.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $18.43 / $41.32	Facility		$11.84	$18.43	$41.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.55 / $30.19	Professional		$11.54	$11.55	$30.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $13.68 / $26.49	Facility		$11.63	$13.68	$26.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $33.06	Professional		$11.76	$11.76	$33.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $11.54	Facility		$10.88	$10.88	$11.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $11.54	Professional		$11.54	$11.54	$11.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $13.85 / $26.15	Professional		$10.39	$13.85	$26.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $11.54 / $16.50	Facility		$10.88	$11.54	$16.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $24.96	Professional		$11.54	$11.54	$24.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $12.69 / $19.61	Professional		$9.23	$12.69	$19.61
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $23.78	Professional		$11.54	$11.54	$23.78