Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $147.80 / $393.75	Facility		$75.91	$147.80	$393.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $76.66 / $5,400.00	Professional		$75.90	$76.66	$5,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $121.25 / $271.80	Facility		$76.81	$121.25	$271.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $75.91 / $160.82	Professional		$73.16	$75.91	$160.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $81.00 / $100.00	Facility		$66.90	$81.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $77.34 / $182.19	Professional		$77.34	$77.34	$182.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $71.61 / $75.91	Facility		$71.61	$71.61	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $91.09 / $174.59	Professional		$68.31	$91.09	$174.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.61 / $366.90 / $379.55	Facility		$97.61	$366.90	$379.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $75.91 / $107.90	Facility		$71.61	$75.91	$107.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $164.19	Professional		$75.91	$75.91	$164.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $93.25 / $93.25	Professional		$93.25	$93.25	$93.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $83.50 / $129.04	Professional		$60.72	$83.50	$129.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $156.03	Professional		$75.91	$75.91	$156.03