Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $282.00 / $316.57	Facility		$141.60	$282.00	$316.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $143.02 / $296.69	Professional		$141.60	$143.02	$296.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.06 / $226.18 / $533.53	Facility		$147.06	$226.18	$533.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.60 / $309.94	Professional		$141.00	$141.60	$309.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $174.48	Facility		$77.20	$100.00	$174.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $144.28 / $356.66	Professional		$144.28	$144.28	$356.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $133.59 / $141.60	Facility		$133.59	$133.59	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $169.92 / $320.89	Professional		$127.44	$169.92	$320.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.65 / $682.80 / $708.00	Facility		$181.65	$682.80	$708.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $201.12	Facility		$133.59	$141.60	$201.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $306.27	Professional		$141.60	$141.60	$306.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $201.56 / $201.56 / $201.56	Professional		$201.56	$201.56	$201.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $155.76 / $240.73	Professional		$113.28	$155.76	$240.73
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $291.04	Professional		$141.60	$141.60	$291.04