Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $75.19 / $1,189.24	Facility		$8.03	$75.19	$1,189.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $36.07 / $403.78	Professional		$5.11	$36.07	$403.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $5.62 / $7.29	Facility		$4.68	$5.62	$7.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.20 / $248.71	Professional		$5.05	$5.20	$248.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $22.64 / $33.25	Facility		$19.76	$22.64	$33.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.15 / $15.59	Professional		$5.15	$5.15	$15.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $5.05	Facility		$4.76	$4.76	$5.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $6.07 / $12.90	Professional		$4.55	$6.07	$12.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $132.88 / $132.88	Facility		$75.00	$132.88	$132.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $5.05 / $7.24	Facility		$4.76	$5.05	$7.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $10.94	Professional		$5.05	$5.05	$10.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Professional		$17.28	$17.28	$17.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.56 / $8.60	Professional		$4.04	$5.56	$8.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.36 / $57.79	Professional		$5.05	$5.36	$57.79