Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $38.67 / $188.86	Facility		$18.59	$38.67	$188.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.78 / $63.61	Professional		$18.59	$18.78	$63.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $29.69 / $66.56	Facility		$19.05	$29.69	$66.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $21.79 / $55.74	Professional		$18.59	$21.79	$55.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $33.77 / $51.15	Facility		$28.98	$33.77	$51.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $18.94 / $53.52	Professional		$18.94	$18.94	$53.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $18.59	Facility		$17.54	$17.54	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $22.31 / $47.00	Professional		$16.73	$22.31	$47.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $92.90 / $92.90	Facility		$75.00	$92.90	$92.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $18.59 / $26.17	Facility		$17.54	$18.59	$26.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $40.21	Professional		$18.59	$18.59	$40.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $41.60 / $41.60	Professional		$41.60	$41.60	$41.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $16.73 / $20.45	Professional		$14.87	$16.73	$20.45
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $43.19	Professional		$18.59	$18.59	$43.19