Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $21.24 / $36.40	Facility		$10.62	$21.24	$36.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.72 / $36.40	Professional		$10.62	$10.72	$36.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $16.95 / $37.99	Facility		$10.89	$16.95	$37.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.01 / $26.02	Professional		$10.62	$13.01	$26.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $27.86 / $43.93	Facility		$24.41	$27.86	$43.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $21.19	Professional		$7.35	$7.35	$21.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Facility		$33.45	$33.45	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $12.53 / $23.36	Professional		$9.56	$12.53	$23.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $1,516.24 / $1,516.24	Facility		$75.00	$1,516.24	$1,516.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $33.45 / $33.45	Facility		$13.44	$33.45	$33.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $22.97 / $33.45	Professional		$10.62	$22.97	$33.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $11.68 / $18.05	Professional		$8.49	$11.68	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $27.33	Professional		$10.62	$10.62	$27.33