Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $83.70 / $159.82	Facility		$59.67	$83.70	$159.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $71.68 / $133.00	Professional		$69.20	$71.68	$133.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $123.57 / $277.00	Facility		$73.29	$123.57	$277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $81.43 / $158.78	Professional		$21.45	$81.43	$158.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $69.22 / $101.97	Facility		$62.08	$69.22	$101.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $77.36 / $191.85	Professional		$77.36	$77.36	$191.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $113.00 / $393.93	Professional		$78.00	$113.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $162.86 / $305.36	Facility		$87.99	$162.86	$305.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $98.98	Facility		$76.14	$76.14	$98.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $108.58 / $108.58	Professional		$108.58	$108.58	$108.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $100.57 / $131.51	Professional		$77.36	$100.57	$131.51
United Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $87.42 / $159.44	Professional		$81.43	$87.42	$159.44