Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $112.14 / $288.76	Facility		$56.07	$112.14	$288.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.63 / $6,035.70	Professional		$56.07	$56.63	$6,035.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.42 / $89.56 / $211.27	Facility		$58.42	$89.56	$211.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $56.07 / $123.12	Professional		$56.01	$56.07	$123.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $58.28 / $100.00	Facility		$53.96	$58.28	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $141.22	Professional		$57.13	$57.13	$141.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $52.89 / $56.07	Facility		$52.89	$52.89	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $67.28 / $127.07	Professional		$50.46	$67.28	$127.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $274.85 / $280.35	Facility		$75.00	$274.85	$280.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $56.07 / $79.44	Facility		$52.89	$56.07	$79.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $121.28	Professional		$56.07	$56.07	$121.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $82.19 / $82.19	Professional		$82.19	$82.19	$82.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $61.67 / $95.32	Professional		$44.85	$61.67	$95.32
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $119.42	Professional		$56.07	$56.07	$119.42