Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $145.69 / $950.88	Professional		$118.77	$145.69	$950.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $21.53 / $562.35	Facility		$19.43	$21.53	$562.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $210.49 / $387.73	Professional		$141.50	$210.49	$387.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $390.19 / $390.19 / $390.19	Facility		$390.19	$390.19	$390.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $178.12 / $261.81	Professional		$100.00	$178.12	$261.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $238.16 / $238.16	Facility		$148.21	$238.16	$238.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $382.13	Professional		$202.44	$238.16	$382.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $230.70 / $444.92	Professional		$197.74	$230.70	$444.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $469.15 / $1,682.37 / $1,682.37	Facility		$469.15	$1,682.37	$1,682.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $238.16 / $329.57	Facility		$106.15	$238.16	$329.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $238.16 / $238.16	Professional		$202.44	$238.16	$238.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $622.04 / $622.04 / $622.04	Professional		$622.04	$622.04	$622.04
United Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $164.42 / $264.52	Professional		$128.74	$164.42	$264.52