Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.27 / $190.60 / $1,038.83	Facility		$173.27	$190.60	$1,038.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $177.60 / $1,038.83	Professional		$114.79	$177.60	$1,038.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.44 / $282.24 / $743.31	Facility		$233.44	$282.24	$743.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $330.82 / $478.61	Professional		$70.00	$330.82	$478.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $327.05 / $588.25	Facility		$97.00	$327.05	$588.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $294.56 / $692.55	Professional		$294.56	$294.56	$692.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $191.36 / $221.22	Professional		$182.69	$191.36	$221.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $70.00 / $393.93	Professional		$42.00	$70.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $460.10 / $1,267.32 / $1,313.52	Facility		$460.10	$1,267.32	$1,313.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.93 / $272.56 / $332.35	Facility		$181.93	$272.56	$332.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.69 / $221.22 / $275.95	Professional		$182.69	$221.22	$275.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $644.57 / $644.57 / $644.57	Professional		$644.57	$644.57	$644.57
United Facility/Professional Professional Modifier Low / Median / High Price $167.62 / $263.30 / $703.97	Professional		$167.62	$263.30	$703.97