Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $2,099.73	Facility		$134.19	$134.19	$2,099.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $134.19 / $312.02	Professional		$131.76	$134.19	$312.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $214.34 / $480.48	Facility		$136.87	$214.34	$480.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $160.25 / $319.95	Professional		$130.66	$160.25	$319.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $211.39	Facility		$77.20	$100.00	$211.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $136.72 / $341.89	Professional		$136.72	$136.72	$341.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $126.60 / $177.04	Facility		$126.60	$126.60	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.77 / $161.03 / $304.10	Professional		$120.77	$161.03	$304.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.49 / $751.00 / $975.00	Facility		$178.49	$751.00	$975.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $140.90 / $191.89	Facility		$126.60	$140.90	$191.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $177.04 / $177.04	Professional		$134.19	$177.04	$177.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $211.97 / $211.97 / $211.97	Professional		$211.97	$211.97	$211.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $147.61 / $228.13	Professional		$107.36	$147.61	$228.13
United Facility/Professional Facility Modifier Low / Median / High Price $378.20 / $378.20 / $378.20	Facility		$378.20	$378.20	$378.20
United Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $161.03 / $345.27	Professional		$143.80	$161.03	$345.27