Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $157.66 / $240.92	Facility		$70.38	$157.66	$240.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $90.00 / $198.58	Professional		$70.37	$90.00	$198.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $112.42 / $252.00	Facility		$74.67	$112.42	$252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $82.42 / $165.98	Professional		$61.71	$82.42	$165.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $78.30 / $100.00	Facility		$70.06	$78.30	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $82.18 / $203.15	Professional		$82.18	$82.18	$203.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $84.46 / $159.50	Professional		$63.34	$84.46	$159.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78.30 / $179.13 / $300.14	Facility		$78.30	$179.13	$300.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $80.88 / $100.64	Facility		$70.38	$80.88	$100.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $80.88 / $80.88	Professional		$70.38	$80.88	$80.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.97 / $123.97 / $123.97	Professional		$123.97	$123.97	$123.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $77.41 / $119.64	Professional		$56.30	$77.41	$119.64
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $86.54 / $167.81	Professional		$78.93	$86.54	$167.81