Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.13 / $199.06 / $462.41	Facility		$90.13	$199.06	$462.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $98.16 / $153.06	Professional		$75.00	$98.16	$153.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $156.79 / $351.47	Facility		$92.56	$156.79	$351.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $87.88 / $224.14	Professional		$75.14	$87.88	$224.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $87.40 / $100.00	Facility		$73.40	$87.40	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $198.20	Professional		$98.16	$98.16	$198.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $96.58 / $96.58	Professional		$30.24	$96.58	$96.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $115.83 / $222.45	Professional		$88.34	$115.83	$222.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $150.50 / $175.76	Facility		$90.57	$150.50	$175.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $140.37	Facility		$96.58	$96.58	$140.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $96.58 / $98.16	Professional		$30.24	$96.58	$98.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $105.96 / $105.96	Professional		$105.96	$105.96	$105.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $107.98 / $166.87	Professional		$78.53	$107.98	$166.87
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $103.33 / $177.72	Professional		$97.44	$103.33	$177.72