Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $28.47 / $154.35	Professional		$19.03	$28.47	$154.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.96 / $88.73	Facility		$3.57	$3.96	$88.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $44.81 / $69.62	Professional		$32.94	$44.81	$69.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $72.30 / $72.30	Facility		$72.30	$72.30	$72.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $32.44 / $58.36	Professional		$28.91	$32.44	$58.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $36.65 / $48.52	Facility		$30.60	$36.65	$48.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $36.65 / $66.75	Professional		$31.15	$36.65	$66.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $42.76 / $82.46	Professional		$36.65	$42.76	$82.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $262.88 / $262.88	Facility		$84.26	$262.88	$262.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $36.65 / $61.08	Facility		$17.01	$36.65	$61.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $36.65 / $41.04	Professional		$31.15	$36.65	$41.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $100.96 / $100.96	Professional		$100.96	$100.96	$100.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $26.69 / $47.44	Professional		$20.66	$26.69	$47.44