Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $57.37 / $7,455.22	Facility		$27.85	$57.37	$7,455.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.12 / $2,384.46	Professional		$27.85	$28.12	$2,384.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $44.47 / $107.88	Facility		$27.91	$44.47	$107.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $31.25 / $74.68	Professional		$26.50	$31.25	$74.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $73.12 / $123.01	Facility		$57.37	$73.12	$123.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $28.37 / $80.66	Professional		$28.37	$28.37	$80.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $22.17 / $27.85	Facility		$22.17	$22.17	$27.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $33.42 / $71.02	Professional		$25.07	$33.42	$71.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $354.50 / $354.50	Facility		$86.02	$354.50	$354.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $27.85 / $39.49	Facility		$22.17	$27.85	$39.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $30.63 / $47.34	Professional		$22.28	$30.63	$47.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $29.52 / $68.67	Professional		$27.85	$29.52	$68.67