Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $613.60 / $694.53	Facility		$308.68	$613.60	$694.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $311.77 / $645.04	Professional		$308.68	$311.77	$645.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.49 / $493.05 / $1,105.26	Facility		$316.49	$493.05	$1,105.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $308.68 / $683.62	Professional		$306.80	$308.68	$683.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $425.22	Facility		$77.20	$100.00	$425.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $314.51 / $314.51 / $777.47	Professional		$314.51	$314.51	$777.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $291.20 / $308.68	Facility		$291.20	$291.20	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $370.42 / $679.10	Professional		$277.81	$370.42	$679.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $390.99 / $1,469.70 / $1,543.40	Facility		$390.99	$1,469.70	$1,543.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $308.68 / $438.07	Facility		$291.20	$308.68	$438.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $667.67	Professional		$308.68	$308.68	$667.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $438.22 / $438.22 / $438.22	Professional		$438.22	$438.22	$438.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $339.55 / $524.76	Professional		$246.95	$339.55	$524.76
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $636.19	Professional		$308.68	$308.68	$636.19