Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.42 / $178.47 / $304.39	Facility		$55.42	$178.47	$304.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $60.00 / $133.93	Professional		$38.67	$60.00	$133.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $52.25 / $67.91	Facility		$42.23	$52.25	$67.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $58.05 / $106.23	Professional		$43.08	$58.05	$106.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $49.34 / $78.97	Facility		$47.97	$49.34	$78.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $40.56 / $100.59	Professional		$40.56	$40.56	$100.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $37.56 / $54.60	Facility		$37.56	$37.56	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $54.60 / $54.60	Professional		$25.58	$54.60	$54.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $47.77 / $90.22	Professional		$35.83	$47.77	$90.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $170.54 / $170.54	Facility		$51.97	$170.54	$170.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $65.55 / $117.18	Professional		$54.69	$65.55	$117.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $41.80 / $56.93	Facility		$37.56	$41.80	$56.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $39.81 / $54.60	Professional		$25.58	$39.81	$54.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $61.01 / $61.01	Professional		$61.01	$61.01	$61.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $43.79 / $67.68	Professional		$31.85	$43.79	$67.68
United Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $57.62 / $102.43	Professional		$52.56	$57.62	$102.43