Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.20 / $257.99 / $602.97	Facility		$182.20	$257.99	$602.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $300.00 / $603.14	Professional		$244.00	$300.00	$603.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $412.09 / $923.76	Facility		$273.70	$412.09	$923.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $271.57 / $567.10	Professional		$135.09	$271.57	$567.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $271.57	Facility		$77.09	$100.00	$271.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $257.99 / $645.10	Professional		$257.99	$257.99	$645.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $253.60 / $253.60	Professional		$150.15	$253.60	$253.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $304.43 / $567.58	Professional		$232.19	$304.43	$567.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $543.14 / $1,018.39	Facility		$279.89	$543.14	$1,018.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $368.93	Facility		$253.60	$253.60	$368.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $253.60 / $257.99	Professional		$150.15	$253.60	$257.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $409.65 / $409.65 / $409.65	Professional		$409.65	$409.65	$409.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.39 / $283.79 / $438.58	Professional		$206.39	$283.79	$438.58
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $291.52 / $526.61	Professional		$257.99	$291.52	$526.61