Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $104.71 / $169.82	Facility		$74.13	$104.71	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $125.89	Professional		$48.98	$50.12	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $58.88 / $151.36	Facility		$51.29	$58.88	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $104.71	Professional		$48.98	$51.29	$104.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $54.95 / $100.00	Facility		$48.98	$54.95	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $151.36	Professional		$50.12	$64.57	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $50.12	Facility		$46.77	$46.77	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $109.65	Professional		$44.67	$54.95	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $74.13 / $123.03	Facility		$48.98	$74.13	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $83.18	Professional		$38.90	$53.70	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $138.04 / $138.04	Facility		$50.12	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $109.65	Professional		$50.12	$50.12	$109.65