Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $54.00 / $154.59	Facility		$27.00	$54.00	$154.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $28.09 / $2,943.20	Professional		$27.00	$28.09	$2,943.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $43.13 / $104.63	Facility		$26.44	$43.13	$104.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $30.06 / $106.68	Professional		$25.05	$30.06	$106.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $79.23 / $108.49	Facility		$64.04	$79.23	$108.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $76.91	Professional		$27.00	$27.00	$76.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $24.65 / $27.00	Facility		$24.65	$24.65	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $32.40 / $62.10	Professional		$24.30	$32.40	$62.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $222.75 / $222.75	Facility		$90.41	$222.75	$222.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $27.00 / $38.11	Facility		$24.65	$27.00	$38.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $58.40	Professional		$27.00	$27.00	$58.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $101.12 / $101.12	Professional		$101.12	$101.12	$101.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $29.70 / $45.90	Professional		$21.60	$29.70	$45.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $72.51	Professional		$27.00	$27.00	$72.51