Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $548.32 / $993.45	Facility		$177.56	$548.32	$993.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $197.00 / $502.14	Professional		$157.60	$197.00	$502.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.37 / $283.60 / $635.74	Facility		$188.37	$283.60	$635.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $186.90 / $476.86	Professional		$158.87	$186.90	$476.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $98.70 / $186.90	Facility		$76.20	$98.70	$186.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $438.93	Professional		$177.56	$177.56	$438.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $174.44 / $174.44	Professional		$144.34	$174.44	$174.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $209.52 / $402.39	Professional		$159.80	$209.52	$402.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $182.59 / $373.80 / $664.35	Facility		$182.59	$373.80	$664.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $253.91	Facility		$174.44	$174.44	$253.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $174.44 / $177.56	Professional		$144.34	$174.44	$177.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $233.35 / $233.35 / $233.35	Professional		$233.35	$233.35	$233.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $142.04 / $195.31 / $301.83	Professional		$142.04	$195.31	$301.83
United Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $186.90 / $362.42	Professional		$176.00	$186.90	$362.42