Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $162.97 / $365.83	Facility		$156.16	$162.97	$365.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $162.97 / $365.83	Professional		$156.16	$162.97	$365.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.91 / $208.01 / $248.02	Facility		$172.91	$208.01	$248.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $212.00 / $387.96	Professional		$173.28	$212.00	$387.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $100.00 / $212.00	Facility		$76.20	$100.00	$212.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $166.05 / $410.48	Professional		$166.05	$166.05	$410.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $153.75 / $203.81	Facility		$153.75	$153.75	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $195.58 / $369.35	Professional		$146.68	$195.58	$369.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $662.03 / $662.03	Facility		$299.86	$662.03	$662.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $171.13 / $233.06	Facility		$153.75	$171.13	$233.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $203.81 / $203.81	Professional		$162.97	$203.81	$203.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $248.54 / $248.54 / $248.54	Professional		$248.54	$248.54	$248.54
United Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $195.58 / $335.90	Professional		$166.24	$195.58	$335.90