Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $131.46 / $147.58	Facility		$65.63	$131.46	$147.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $66.28 / $147.24	Professional		$65.63	$66.28	$147.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $104.83 / $247.29	Facility		$68.56	$104.83	$247.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.73 / $148.31	Professional		$65.63	$65.73	$148.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $72.92 / $101.15	Facility		$62.00	$72.92	$101.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $66.86 / $165.81	Professional		$66.86	$66.86	$165.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $61.91 / $65.63	Facility		$61.91	$61.91	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $78.76 / $148.72	Professional		$59.07	$78.76	$148.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $319.39 / $328.15	Facility		$84.97	$319.39	$328.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $65.63 / $93.22	Facility		$61.91	$65.63	$93.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $141.96	Professional		$65.63	$65.63	$141.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Professional		$100.03	$100.03	$100.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $72.19 / $111.56	Professional		$52.50	$72.19	$111.56
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $134.90	Professional		$65.63	$65.63	$134.90