Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $36.58 / $41.06	Facility		$18.16	$36.58	$41.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.34 / $31.42	Professional		$18.16	$18.34	$31.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $29.01 / $64.34	Facility		$18.29	$29.01	$64.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.29 / $43.15	Professional		$18.16	$18.29	$43.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $22.16 / $39.86	Facility		$19.30	$22.16	$39.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $49.87	Professional		$18.50	$18.50	$49.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $17.13 / $18.16	Facility		$17.13	$17.13	$18.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $21.79 / $41.77	Professional		$16.34	$21.79	$41.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.80 / $100.00	Facility		$75.00	$90.80	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $18.16 / $25.72	Facility		$17.13	$18.16	$25.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $39.28	Professional		$18.16	$18.16	$39.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $27.63 / $27.63	Professional		$27.63	$27.63	$27.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $16.34 / $19.97	Professional		$14.52	$16.34	$19.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $37.33	Professional		$18.16	$18.16	$37.33