Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $65.67 / $159.77	Facility		$65.67	$65.67	$159.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $69.94 / $157.53	Professional		$65.67	$69.94	$157.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.53 / $117.24 / $262.82	Facility		$69.53	$117.24	$262.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $77.26 / $141.38	Professional		$41.41	$77.26	$141.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $66.90 / $106.01	Facility		$62.00	$66.90	$106.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $73.40 / $183.54	Professional		$73.40	$73.40	$183.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Facility		$72.25	$72.25	$72.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $95.00 / $393.93	Professional		$77.00	$95.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.62 / $154.52 / $289.73	Facility		$86.62	$154.52	$289.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $93.91	Facility		$72.25	$72.25	$93.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
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 $73.40 / $95.42 / $124.78	Professional		$73.40	$95.42	$124.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $82.94 / $149.82	Professional		$77.26	$82.94	$149.82