Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.72 / $170.32	Facility		$75.86	$151.72	$170.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $76.62 / $141.82	Professional		$75.86	$76.62	$141.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.12 / $121.17 / $285.83	Facility		$79.12	$121.17	$285.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $166.76	Professional		$75.86	$75.86	$166.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $87.14 / $102.52	Facility		$61.30	$87.14	$102.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $77.29 / $184.54	Professional		$77.29	$77.29	$184.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $71.56 / $75.86	Facility		$71.56	$71.56	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $91.03 / $171.91	Professional		$68.27	$91.03	$171.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $361.35 / $379.30	Facility		$96.13	$361.35	$379.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $75.86 / $107.90	Facility		$71.56	$75.86	$107.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $164.09	Professional		$75.86	$75.86	$164.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $96.35 / $96.35	Professional		$96.35	$96.35	$96.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $83.44 / $128.96	Professional		$60.69	$83.44	$128.96
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $187.05	Professional		$75.86	$75.86	$187.05