Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.85 / $207.73 / $1,168.31	Facility		$188.85	$207.73	$1,168.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $193.57 / $1,168.31	Professional		$125.11	$193.57	$1,168.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.42 / $307.61 / $810.13	Facility		$254.42	$307.61	$810.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $360.55 / $521.54	Professional		$70.00	$360.55	$521.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $356.45 / $649.16	Facility		$97.00	$356.45	$649.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $321.04 / $321.04 / $778.87	Professional		$321.04	$321.04	$778.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.34 / $238.10 / $275.30	Professional		$227.34	$238.10	$275.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $266.00 / $444.00	Professional		$153.00	$266.00	$444.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.55 / $1,577.08 / $1,634.57	Facility		$572.55	$1,577.08	$1,634.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.29 / $297.05 / $413.45	Facility		$198.29	$297.05	$413.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.34 / $275.30 / $343.28	Professional		$227.34	$275.30	$343.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.91 / $724.91 / $724.91	Professional		$724.91	$724.91	$724.91
United Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $296.12 / $711.45	Professional		$187.68	$296.12	$711.45