Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $44.67 / $95.50	Facility		$31.62	$44.67	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $95.50	Professional		$20.89	$22.39	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.92 / $56.23	Facility		$21.88	$26.92	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $58.88	Professional		$21.38	$28.84	$58.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $69.18	Facility		$33.11	$50.12	$69.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $102.33	Professional		$37.15	$47.86	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $46.77	Professional		$19.05	$23.44	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $75.86	Facility		$22.39	$33.11	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $41.69	Professional		$28.18	$28.18	$41.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $36.31	Professional		$16.98	$23.44	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $70.79 / $70.79	Facility		$21.38	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $52.48	Professional		$21.38	$21.38	$52.48