Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $65.06 / $8,437.50	Facility		$30.32	$65.06	$8,437.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $33.69 / $2,846.97	Professional		$30.32	$33.69	$2,846.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $48.43 / $108.95	Facility		$29.48	$48.43	$108.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $30.36 / $78.87	Professional		$27.99	$30.36	$78.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $95.90 / $392.55	Facility		$62.00	$95.90	$392.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $91.34	Professional		$30.32	$30.32	$91.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $30.32	Facility		$23.58	$23.58	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $36.38 / $80.95	Professional		$27.29	$36.38	$80.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $392.55 / $1,527.75 / $1,527.75	Facility		$392.55	$1,527.75	$1,527.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $30.32 / $43.16	Facility		$23.58	$30.32	$43.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $693.60 / $693.60 / $693.60	Professional		$693.60	$693.60	$693.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $33.36 / $51.55	Professional		$24.26	$33.36	$51.55
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $32.14 / $78.01	Professional		$30.32	$32.14	$78.01