Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $42.46 / $72.80	Facility		$21.23	$42.46	$72.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $24.80 / $75.38	Professional		$21.23	$24.80	$75.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $34.04 / $79.98	Facility		$22.52	$34.04	$79.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $26.59 / $52.08	Professional		$21.23	$26.59	$52.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $48.83 / $68.56	Facility		$36.70	$48.83	$68.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $44.98 / $100.00	Professional		$36.86	$44.98	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Facility		$28.21	$28.21	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $25.05 / $46.71	Professional		$19.11	$25.05	$46.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $113.14 / $113.14	Facility		$75.00	$113.14	$113.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $28.21 / $30.71	Facility		$22.51	$28.21	$30.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $28.21 / $45.92	Professional		$21.23	$28.21	$45.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $47.62 / $47.62 / $47.62	Professional		$47.62	$47.62	$47.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.35 / $36.09	Professional		$16.98	$23.35	$36.09
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $45.22	Professional		$21.23	$21.23	$45.22