Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $117.49 / $288.40	Facility		$50.12	$117.49	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $60.26	Professional		$34.67	$50.12	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $60.26 / $117.49	Facility		$53.70	$60.26	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $109.65	Professional		$45.71	$51.29	$109.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $50.12 / $67.61	Facility		$44.67	$50.12	$67.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.48 / $30.20	Professional		$9.77	$11.48	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $257.04	Professional		$45.71	$85.11	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $28.18 / $66.07	Facility		$8.91	$28.18	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $51.29 / $51.29	Professional		$23.44	$51.29	$51.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26