Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $95.62 / $631.40	Professional		$67.04	$95.62	$631.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $12.15 / $373.41	Facility		$10.97	$12.15	$373.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $161.11 / $273.24	Professional		$113.17	$161.11	$273.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $259.08 / $259.08 / $259.08	Facility		$259.08	$259.08	$259.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $118.27 / $173.86	Professional		$100.00	$118.27	$173.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.64 / $134.41 / $188.01	Facility		$109.64	$134.41	$188.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $253.88	Professional		$114.26	$134.41	$253.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $153.19 / $295.43	Professional		$131.30	$153.19	$295.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $317.32 / $997.78 / $1,039.49	Facility		$317.32	$997.78	$1,039.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $134.41 / $218.84	Facility		$59.91	$134.41	$218.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $138.78	Professional		$114.26	$134.41	$138.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $413.04 / $413.04 / $413.04	Professional		$413.04	$413.04	$413.04
United Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $92.80 / $187.05	Professional		$72.80	$92.80	$187.05