Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $259.16 / $320.70	Facility		$129.47	$259.16	$320.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $134.71 / $320.70	Professional		$129.47	$134.71	$320.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.82 / $206.82 / $463.62	Facility		$132.82	$206.82	$463.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.58 / $365.19	Professional		$129.47	$129.58	$365.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $147.18	Facility		$77.00	$100.00	$147.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $327.16	Professional		$131.91	$131.91	$327.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $122.15 / $129.47	Facility		$122.15	$122.15	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $155.38 / $293.43	Professional		$116.53	$155.38	$293.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.23 / $647.40 / $647.50	Facility		$172.23	$647.40	$647.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $129.47 / $183.67	Facility		$122.15	$129.47	$183.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $280.07	Professional		$129.47	$129.47	$280.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $217.89 / $217.89 / $217.89	Professional		$217.89	$217.89	$217.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $142.43 / $220.12	Professional		$103.58	$142.43	$220.12
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $266.86	Professional		$129.47	$129.47	$266.86