Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $90.87 / $4,146.89	Facility		$44.55	$90.87	$4,146.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.94 / $4,413.83	Professional		$44.10	$44.94	$4,413.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $70.45 / $166.20	Facility		$46.40	$70.45	$166.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.49 / $97.81	Professional		$44.11	$44.49	$97.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $63.24 / $99.77	Facility		$56.54	$63.24	$99.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $112.37	Professional		$44.94	$44.94	$112.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $41.61 / $44.11	Facility		$41.61	$41.61	$44.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $52.93 / $99.96	Professional		$39.70	$52.93	$99.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $290.50 / $290.50	Facility		$75.00	$290.50	$290.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $44.11 / $62.45	Facility		$41.61	$44.11	$62.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $95.41	Professional		$44.11	$44.11	$95.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $103.42 / $103.42	Professional		$103.42	$103.42	$103.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $48.52 / $74.98	Professional		$35.29	$48.52	$74.98
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $120.88	Professional		$44.11	$44.11	$120.88