Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $164.42 / $368.79	Facility		$164.42	$164.42	$368.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $164.42 / $280.01	Professional		$164.41	$164.42	$280.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.88 / $262.63 / $588.72	Facility		$174.88	$262.63	$588.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $224.00 / $409.92	Professional		$190.53	$224.00	$409.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $229.05	Facility		$77.09	$100.00	$229.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $223.40 / $519.41	Professional		$223.40	$223.40	$519.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $197.30 / $372.61	Professional		$147.97	$197.30	$372.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $448.00 / $815.59	Facility		$212.80	$448.00	$815.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $219.62 / $235.12	Facility		$164.42	$219.62	$235.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $219.62 / $219.62	Professional		$164.42	$219.62	$219.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $250.54 / $250.54 / $250.54	Professional		$250.54	$250.54	$250.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.54 / $180.86 / $279.52	Professional		$131.54	$180.86	$279.52
United Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $197.30 / $423.05	Professional		$180.86	$197.30	$423.05