Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $74.61 / $664.83	Facility		$50.06	$74.61	$664.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $63.06 / $233.21	Professional		$38.83	$63.06	$233.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $100.73 / $225.79	Facility		$37.54	$100.73	$225.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $52.62 / $388.35	Professional		$32.09	$52.62	$388.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $336.92	Facility		$77.00	$100.00	$336.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $46.06 / $130.96	Professional		$46.06	$46.06	$130.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $59.49 / $63.06	Facility		$59.49	$59.49	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $75.67 / $168.37	Professional		$56.75	$75.67	$168.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.86 / $999.65 / $999.65	Facility		$281.86	$999.65	$999.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $63.06 / $91.08	Facility		$59.49	$63.06	$91.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $136.40	Professional		$63.06	$63.06	$136.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $355.87 / $355.87 / $355.87	Professional		$355.87	$355.87	$355.87
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $66.84 / $169.36	Professional		$63.06	$66.84	$169.36