Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $229.64 / $621.45	Facility		$133.47	$229.64	$621.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $161.50 / $436.00	Professional		$133.46	$161.50	$436.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $213.19 / $477.90	Facility		$141.60	$213.19	$477.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $140.50 / $273.97	Professional		$20.07	$140.50	$273.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $99.00 / $140.50	Facility		$76.20	$99.00	$140.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $133.47 / $333.77	Professional		$133.47	$133.47	$333.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Facility		$131.13	$131.13	$131.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Professional		$131.13	$131.13	$131.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $157.49 / $302.47	Professional		$120.12	$157.49	$302.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $144.81 / $281.00 / $526.88	Facility		$144.81	$281.00	$526.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.92 / $131.13 / $190.86	Facility		$45.92	$131.13	$190.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $133.47	Professional		$131.13	$131.13	$133.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $213.45 / $213.45	Professional		$213.45	$213.45	$213.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $146.82 / $226.90	Professional		$106.78	$146.82	$226.90
United Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $140.50 / $255.18	Professional		$126.68	$140.50	$255.18