Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $153.11 / $254.21	Facility		$73.79	$153.11	$254.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $105.39 / $193.04	Professional		$71.84	$105.39	$193.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $94.18 / $113.98	Facility		$78.28	$94.18	$113.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $97.43 / $178.29	Professional		$71.45	$97.43	$178.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $85.28 / $100.00	Facility		$75.70	$85.28	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $75.19 / $185.87	Professional		$75.19	$75.19	$185.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $69.62 / $93.78	Facility		$69.62	$69.62	$93.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $93.78	Professional		$93.78	$93.78	$93.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $88.55 / $167.22	Professional		$66.41	$88.55	$167.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.99 / $316.18 / $316.18	Facility		$95.99	$316.18	$316.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $77.48 / $105.52	Facility		$69.62	$77.48	$105.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $93.78 / $93.78	Professional		$73.79	$93.78	$93.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $104.02 / $104.02 / $104.02	Professional		$104.02	$104.02	$104.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $81.17 / $125.45	Professional		$59.04	$81.17	$125.45
United Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $98.84 / $175.06	Professional		$86.64	$98.84	$175.06