Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.67 / $63.61	Facility		$19.48	$19.67	$63.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.67 / $63.61	Professional		$19.48	$19.67	$63.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $22.60 / $38.25	Facility		$18.98	$22.60	$38.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $21.14 / $53.26	Professional		$19.48	$21.14	$53.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $37.02 / $59.03	Professional		$25.07	$37.02	$59.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $19.48	Facility		$18.38	$18.38	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $27.56	Professional		$19.48	$19.48	$27.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $24.35 / $42.86	Professional		$18.21	$24.35	$42.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $93.90	Facility		$75.00	$85.00	$93.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $114.00 / $135.00	Professional		$105.00	$114.00	$135.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $42.33 / $42.33	Professional		$42.33	$42.33	$42.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $21.43 / $33.15	Facility		$19.48	$21.43	$33.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $37.50	Professional		$19.48	$19.48	$37.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Professional		$41.60	$41.60	$41.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $36.99	Professional		$19.48	$19.48	$36.99