Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.12 / $216.12 / $329.73	Facility		$136.12	$216.12	$329.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $170.43 / $373.04	Professional		$128.00	$170.43	$373.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.36 / $189.30 / $221.62	Facility		$158.36	$189.30	$221.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $184.68 / $315.80	Professional		$50.57	$184.68	$315.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $141.25	Facility		$75.70	$97.40	$141.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $175.45 / $175.45 / $361.15	Professional		$175.45	$175.45	$361.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $155.00 / $393.93	Professional		$120.00	$155.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $351.76 / $628.16	Facility		$200.50	$351.76	$628.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $172.37 / $224.48	Facility		$112.56	$172.37	$224.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $172.37 / $172.37	Professional		$49.50	$172.37	$172.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $133.78 / $133.78	Professional		$133.78	$133.78	$133.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $169.72 / $221.94	Professional		$130.55	$169.72	$221.94
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $173.91 / $305.13	Professional		$149.63	$173.91	$305.13