Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $140.10 / $201.35	Facility		$64.62	$140.10	$201.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $75.80 / $201.35	Professional		$64.62	$75.80	$201.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $76.93 / $93.05	Facility		$65.91	$76.93	$93.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $75.05 / $164.96	Professional		$60.03	$75.05	$164.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $86.22 / $101.44	Facility		$71.70	$86.22	$101.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $164.63	Professional		$65.84	$65.84	$164.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $64.62	Facility		$60.96	$60.96	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $77.54 / $146.44	Professional		$58.16	$77.54	$146.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.22 / $378.80 / $378.80	Facility		$86.22	$378.80	$378.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $64.62 / $91.84	Facility		$60.96	$64.62	$91.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $139.77	Professional		$64.62	$64.62	$139.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $136.78 / $136.78	Professional		$136.78	$136.78	$136.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $71.08 / $109.85	Professional		$51.69	$71.08	$109.85
United Facility/Professional Facility Modifier Low / Median / High Price $222.34 / $234.33 / $234.33	Facility		$222.34	$234.33	$234.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $161.47	Professional		$64.62	$64.62	$161.47