Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $336.26 / $445.69	Facility		$164.59	$336.26	$445.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $169.81 / $445.69	Professional		$164.59	$169.81	$445.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.61 / $262.89 / $620.16	Facility		$174.61	$262.89	$620.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $168.13 / $463.61	Professional		$164.59	$168.13	$463.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $233.88	Facility		$77.00	$100.00	$233.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $167.69 / $167.69 / $419.31	Professional		$167.69	$167.69	$419.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $155.27 / $164.59	Facility		$155.27	$155.27	$164.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $197.51 / $372.99	Professional		$148.13	$197.51	$372.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.22 / $850.55 / $850.55	Facility		$217.22	$850.55	$850.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $164.59 / $233.72	Facility		$155.27	$164.59	$233.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $356.01	Professional		$164.59	$164.59	$356.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.79 / $302.79 / $302.79	Professional		$302.79	$302.79	$302.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $181.05 / $279.80	Professional		$131.66	$181.05	$279.80
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $374.22	Professional		$164.59	$164.59	$374.22