Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $48.65 / $178.71	Facility		$31.09	$48.65	$178.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $31.39 / $5,714.28	Professional		$28.02	$31.39	$5,714.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $32.60 / $73.34	Facility		$21.41	$32.60	$73.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $24.63 / $68.84	Professional		$20.41	$24.63	$68.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $51.00 / $87.80	Facility		$45.42	$51.00	$87.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $22.14 / $62.95	Professional		$22.14	$22.14	$62.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $20.41	Facility		$18.05	$18.05	$20.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $24.49 / $52.05	Professional		$18.37	$24.49	$52.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $257.50 / $257.50	Facility		$75.00	$257.50	$257.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $20.41 / $32.97	Facility		$18.05	$20.41	$32.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $116.90 / $116.90	Professional		$116.90	$116.90	$116.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $22.45 / $34.69	Professional		$16.32	$22.45	$34.69
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $89.23	Professional		$34.68	$34.68	$89.23