Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $145.78	Facility		$29.29	$29.29	$145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $29.29 / $148.57	Professional		$21.99	$29.29	$148.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $31.02 / $81.69	Facility		$25.66	$31.02	$81.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $21.57 / $61.69	Professional		$17.25	$21.57	$61.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $92.72	Professional		$30.78	$30.78	$92.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $34.94 / $36.82	Professional		$29.22	$34.94	$36.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $50.52 / $116.20	Professional		$27.00	$50.52	$116.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $241.16 / $241.16	Facility		$86.97	$241.16	$241.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $41.88 / $78.75	Facility		$30.75	$41.88	$78.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $36.82 / $50.52	Professional		$29.22	$36.82	$50.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $95.36 / $95.36	Professional		$95.36	$95.36	$95.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $41.57 / $54.37	Professional		$31.98	$41.57	$54.37
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $26.17 / $70.84	Professional		$21.97	$26.17	$70.84