Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $460.52 / $517.84	Facility		$230.15	$460.52	$517.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $495.15	Professional		$230.15	$232.46	$495.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.16 / $367.62 / $867.18	Facility		$240.16	$367.62	$867.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.26 / $506.15	Professional		$230.15	$230.26	$506.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $286.76	Facility		$77.20	$100.00	$286.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $234.50 / $234.50 / $579.67	Professional		$234.50	$234.50	$579.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $217.13 / $230.15	Facility		$217.13	$217.13	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.14 / $276.18 / $521.57	Professional		$207.14	$276.18	$521.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $296.42 / $1,114.20 / $1,150.75	Facility		$296.42	$1,114.20	$1,150.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $230.15 / $326.94	Facility		$217.13	$230.15	$326.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $497.81	Professional		$230.15	$230.15	$497.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $336.40 / $336.40 / $336.40	Professional		$336.40	$336.40	$336.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $253.17 / $391.26	Professional		$184.12	$253.17	$391.26
United Facility/Professional Facility Modifier Low / Median / High Price $556.70 / $586.69 / $586.69	Facility		$556.70	$586.69	$586.69
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $473.05	Professional		$230.15	$230.15	$473.05