Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $146.63 / $490.80	Facility		$60.00	$146.63	$490.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.60 / $166.77	Professional		$60.00	$60.60	$166.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $82.20 / $113.56	Facility		$63.65	$82.20	$113.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $97.07 / $213.38	Professional		$60.00	$97.07	$213.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $88.40 / $101.05	Facility		$75.90	$88.40	$101.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $65.09 / $144.52	Professional		$65.09	$65.09	$144.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $56.61 / $60.00	Facility		$56.61	$56.61	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $72.00 / $153.00	Professional		$54.00	$72.00	$153.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $153.68 / $367.35 / $367.35	Facility		$153.68	$367.35	$367.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $60.00 / $85.40	Facility		$56.61	$60.00	$85.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $129.78	Professional		$60.00	$60.00	$129.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $99.61 / $99.61	Professional		$99.61	$99.61	$99.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $66.00 / $102.01	Professional		$48.00	$66.00	$102.01
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $154.38	Professional		$60.00	$60.00	$154.38