Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $459.26 / $14,074.50	Facility		$225.11	$459.26	$14,074.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $227.36 / $592.85	Professional		$225.11	$227.36	$592.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.87 / $359.57 / $848.19	Facility		$234.87	$359.57	$848.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.19 / $634.67	Professional		$225.11	$225.19	$634.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $348.47	Facility		$77.20	$100.00	$348.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.35 / $229.35 / $573.49	Professional		$229.35	$229.35	$573.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $212.37 / $225.11	Facility		$212.37	$212.37	$225.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.60 / $270.13 / $510.14	Professional		$202.60	$270.13	$510.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $293.07 / $1,131.40 / $1,131.40	Facility		$293.07	$1,131.40	$1,131.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $225.11 / $319.60	Facility		$212.37	$225.11	$319.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $486.91	Professional		$225.11	$225.11	$486.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $402.76 / $402.76	Professional		$402.76	$402.76	$402.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $247.62 / $382.68	Professional		$180.09	$247.62	$382.68
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $474.54	Professional		$225.11	$225.11	$474.54