Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $199.64 / $256.33	Facility		$99.97	$199.64	$256.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $100.97 / $256.33	Professional		$99.97	$100.97	$256.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $159.68 / $357.95	Facility		$102.50	$159.68	$357.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.97 / $281.32	Professional		$99.82	$99.97	$281.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $99.81 / $167.91	Facility		$77.00	$99.81	$167.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $101.85 / $254.11	Professional		$101.85	$101.85	$254.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $94.31 / $99.97	Facility		$94.31	$94.31	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $119.96 / $229.93	Professional		$89.97	$119.96	$229.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $495.20 / $499.85	Facility		$131.74	$495.20	$499.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $99.97 / $141.88	Facility		$94.31	$99.97	$141.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $216.24	Professional		$99.97	$99.97	$216.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $174.16 / $174.16	Professional		$174.16	$174.16	$174.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $109.96 / $169.94	Professional		$79.97	$109.96	$169.94
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $212.92	Professional		$99.97	$99.97	$212.92