Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $234.38 / $287.89	Facility		$117.36	$234.38	$287.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.53 / $280.02	Professional		$117.36	$118.53	$280.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $187.46 / $420.22	Facility		$120.33	$187.46	$420.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.36 / $330.29	Professional		$117.19	$117.36	$330.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $135.29	Facility		$77.00	$100.00	$135.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $119.57 / $296.52	Professional		$119.57	$119.57	$296.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $117.36	Facility		$110.72	$110.72	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $140.83 / $265.95	Professional		$105.62	$140.83	$265.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.93 / $582.35 / $586.79	Facility		$154.93	$582.35	$586.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $117.36 / $166.69	Facility		$110.72	$117.36	$166.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $253.85	Professional		$117.36	$117.36	$253.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.23 / $190.23 / $190.23	Professional		$190.23	$190.23	$190.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $129.10 / $199.51	Professional		$93.89	$129.10	$199.51
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $241.88	Professional		$117.36	$117.36	$241.88