Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $616.60	Facility		$245.47	$380.19	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $1,174.90	Professional		$181.97	$199.53	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $218.78 / $478.63	Facility		$190.55	$218.78	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $501.19	Professional		$181.97	$186.21	$501.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.10 / $398.11	Facility		$60.26	$87.10	$398.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $549.54	Professional		$181.97	$234.42	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $181.97	Facility		$169.82	$169.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $416.87	Professional		$162.18	$199.53	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $446.68	Facility		$181.97	$269.15	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $331.13	Professional		$177.83	$177.83	$331.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $302.00	Professional		$141.25	$194.98	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $602.56 / $602.56	Facility		$181.97	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $446.68	Professional		$181.97	$181.97	$446.68