Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $128.83 / $187.63	Facility		$96.56	$128.83	$187.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $98.15 / $152.01	Professional		$69.94	$98.15	$152.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $156.79 / $351.47	Facility		$92.57	$156.79	$351.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $87.95 / $183.53	Professional		$31.88	$87.95	$183.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $86.90 / $100.00	Facility		$64.00	$86.90	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $217.92	Professional		$98.16	$98.16	$217.92
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 $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $83.47 / $83.47	Professional		$83.47	$83.47	$83.47
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 $90.59 / $175.78 / $289.73	Facility		$90.59	$175.78	$289.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $118.59 / $142.12 / $206.66	Professional		$118.59	$142.12	$206.66
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 $96.58 / $96.58 / $98.16	Professional		$96.58	$96.58	$98.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $108.54 / $108.54	Professional		$108.54	$108.54	$108.54
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 / $187.67	Professional		$97.44	$103.33	$187.67