Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $70.00 / $78.52	Facility		$28.20	$70.00	$78.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $28.20 / $78.52	Professional		$23.45	$28.20	$78.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.04 / $47.95 / $107.49	Facility		$30.04	$47.95	$107.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.88 / $69.02	Professional		$28.32	$28.88	$69.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $31.18 / $51.31	Facility		$28.88	$31.18	$51.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $86.00	Professional		$30.59	$30.59	$86.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $62.00 / $393.93	Professional		$41.00	$62.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $150.10 / $150.10	Facility		$75.00	$150.10	$150.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $40.33	Facility		$28.88	$28.88	$40.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $53.34 / $53.34	Professional		$53.34	$53.34	$53.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $36.82 / $48.14	Professional		$28.32	$36.82	$48.14
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $69.83	Professional		$28.32	$28.32	$69.83