Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $122.10 / $688.44	Facility		$111.00	$122.10	$688.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $113.78 / $688.44	Professional		$73.54	$113.78	$688.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.54 / $180.80 / $476.18	Facility		$149.54	$180.80	$476.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $211.93 / $306.58	Professional		$70.00	$211.93	$306.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $209.51 / $381.56	Facility		$96.60	$209.51	$381.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $188.70 / $458.96	Professional		$188.70	$188.70	$458.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $69.00 / $393.93	Professional		$42.00	$69.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $340.58 / $938.08 / $972.33	Facility		$340.58	$938.08	$972.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $174.60 / $245.95	Facility		$116.55	$174.60	$245.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $194.54 / $204.22	Professional		$141.60	$194.54	$204.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $427.16 / $427.16	Professional		$427.16	$427.16	$427.16
United Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $174.49 / $419.23	Professional		$111.08	$174.49	$419.23