Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $413.24 / $463.90	Facility		$206.59	$413.24	$463.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $208.65 / $457.16	Professional		$206.59	$208.65	$457.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.50 / $329.99 / $778.41	Facility		$215.50	$329.99	$778.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.62 / $461.79	Professional		$206.59	$206.62	$461.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $284.45	Facility		$77.20	$100.00	$284.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $210.49 / $210.49 / $520.33	Professional		$210.49	$210.49	$520.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $194.90 / $206.59	Facility		$194.90	$194.90	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $247.91 / $475.16	Professional		$185.93	$247.91	$475.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $268.13 / $1,007.85 / $1,032.95	Facility		$268.13	$1,007.85	$1,032.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $206.59 / $293.42	Facility		$194.90	$206.59	$293.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $446.85	Professional		$206.59	$206.59	$446.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $310.58 / $310.58	Professional		$310.58	$310.58	$310.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.27 / $227.25 / $351.20	Professional		$165.27	$227.25	$351.20
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $459.25	Professional		$206.59	$206.59	$459.25